A Maryland hospital allegedly added malnutrition as a secondary diagnosis, employing tactics that included the submission of leading queries to increase reimbursement, according to...Read More »
HHS proposed electronic health record (EHR) systems’ Stage 2 meaningful use requirements in a February 24 release. Meaningful use as defined during Stage 2 consists of online access for patients to their health information...Read More »
After serving as the president of the National Quality Forum (NQF) for more than six years, Janet Corrigan earlier this month announced her plans to leave her post at the non-profit membership organization,...Read More »
The Department of Health and Human Services (HHS) recovered nearly $4.1 billion in taxpayer dollars in Fiscal Year (FY) 2011 thanks to its increased healthcare fraud prevention and enforcement efforts, according to a recent...Read More »
As of Wednesday, February 29, hospitals can access their Value-Based Purchasing Simulated Hospital Report via QualityNet, according to a CMS spokesman who walked participants through a sample report earlier this week.
Beginning in Fiscal Year (FY) 2013, CMS will reimburse facility under...Read More »
CMS’ Recovery Auditors (previously called Recovery Audit Contractors, now associated with the Recovery Audit Program [RAP]), collected nearly $400 million in overpayments from October 1 through December 31, 2011,...Read More »
Fifty-eight percent of claims billed with MS-DRG 246, percutaneous cardiovascular procedure with drug-eluting stent, with MCC or four-plus vessels/stents, were denied by Trailblazer Health Enterprises, LLC, the Medicare Administrative Contractor for Jurisdiction 4(Texas, New Mexico, Colorado,...Read More »
