Jefferson Medical Associates, a now dissolved, multi-specialty practice group in Laurel, Mississippi, and neurologist Aremmia Tanious, MD, have agreed to pay the U.S. $817,635.06 to resolve claims under the False Claims Act arising from Medicare overpayments, according to...Read More »
Federal fraud watchdog agencies may be taking a closer look at Medicare Advantage in 2019, according to a recent report released by Bass, Barry & Sims, a Washington, D.C.-based law firm.Read More »
FEATURES 9 IPPS final rule 14 PSIs, POA indicators offer CDI-quality starting point 17 Outpatient quality collaboration 23 CDI programs’ role in population...Read More »
By Melissa Varnavas
Ask my mother. Ask my father. Ask my husband. Heck, you can even ask my nieces and nephews. For that matter, go ahead and ask ACDIS Director Brian Murphy or ACDIS Editor Linnea Archibald. Everyone knows I am absolutely no good at following the rules.Read More »
by Susan Schmitz, JD, RN, CCS, CCDS, CDIP
If you’re anything like me, I imagine you were quite relieved when the fiscal year (FY) 2020 inpatient prospective payment system (IPPS) final rule came out. The proposed rule with its thousands of CC and hundreds of MCC downgrades proved...Read More »
HACs declined by 13% between 2014 and 2017, preventing an estimated 20,500 deaths and $7.7 billion in healthcare costs, according to preliminary data from the AHRQ.Read More »
Prior to 1983, Medicare reimbursed based on actual charges that inpatient healthcare facilities billed (often referred to as “fee-for-service” payments). The more tests, procedures, and services ordered by physicians, the more an organization was paid. This created the potential for unnecessary...Read More »
Although bundled payment programs have the potential to generate data that can be used to reduce costs and improve the Medicare program, the overall pool of participants and the design of voluntary bundled payment programs may reduce the value of the data and the programs overall, U.S. GAO said...Read More »
