Demographics, preexisting comorbidities, vital signs, and laboratory values at the time of hospitalization can indicate which children with COVID-19 are at higher risk of severe illness, and which are good candidates for aggressive early treatment, according to a study published in the...Read More »
Roughly one in seven cases of screen-detected breast cancer are overdiagnoses, according to a study published in the Annals of Internal Medicine. The study focused on women aged 50 to 74 who were at average risk of breast...Read More »
The Health and Human Services (HHS) Office of Inspector General (OIG) has announced its plan to audit hospitals for severe malnutrition diagnosis codes on inpatient claims.
The World Health Organization (WHO) officially released ICD-10 2022, the official 11th revision of the International Classification of Disease (ICD) coding set. According to the release, “all Member States are...Read More »
Fourth quarter reports for insurance providers in the U.S. spotlight UnitedHealth Group as the most profitable payer of 2021—at $17.3 billion, more than double the profit of the next closest competitor, and owning almost half of the total profit of six major insurers.
SCAN Health Plan received nearly $55 million in overpayments for 164 unvalidated HCCs out of a 1,577 sample for 2015, according to an Office of the Inspector General (OIG) audit. The audit looked to verify diagnosis codes for...Read More »
