According to a recent study published in The Lancet examining global trends, mortality rates for most major causes have declined since 1990, with the global age-standardized mortality rate...Read More »
Mortality has been a publicly reported quality metric on Medicare.gov for nearly a decade. This metric allows for the comparison of death rates across various conditions that CDI programs are involved in reviewing. To help CDI professionals gain a...Read More »
CMS recently revised Chapter 4 of the Medicare Claims Processing Manual to provide Method II critical access hospitals (CAH) with updated billing requirements for professional emergency services performed in the...Read More »
CMS recently published a fact sheet detailing improper payments across Medicare and Medicaid programs in fiscal year (FY) 2025, including overpayments, underpayments, and payments that lacked...Read More »
The American Hospital Association (AHA) sent comments to the Medicare Payment Advisory Commission (MedPAC) ahead of their January meeting regarding payment update recommendations. Specifically, the AHA urged MedPAC to:
Recommend higher payment updates for inpatient and outpatient
UnitedHealth Group (UHG) used “aggressive strategies” to increase its Medicare Advantage (MA) risk adjustment scores and collect higher payments from MA enrollees’ diagnoses, according to a new Senate Judiciary...Read More »
