In a recent blog post, CMS Administrator Seema Verma highlighted progress in reducing provider complaints related to the Medicare RAC program and the associated backlog of...Read More »
Earlier this week, CMS announced the introduction of the CMS Primary Cares initiative, a voluntary, risk-based initiative to transform primary care to a value-based system that rewards physicians who keep patients healthy and out of the hospital.Read More »
Q:I have a question about code T83.512, Nephrostomy tube catheter associated infection, which leads to DRG 698-700. I understand that this is not considered a HAC, but is it still a catheter associated infection from a device...Read More »
Sacramento-based Sutter Health LLC and several affiliates will pay $30 million to settle allegations that they were overpaid after submitting inflated information about the dire...Read More »
Insufficient documentation led to approximately $23 billion in improper Medicare payments in FY 2017, the GAO said in a March 27 report. GAO recommended that CMS assess and strengthen documentation requirements and medical reviews to more...Read More »
