No, we don’t mean the common table spice. The Program for Evaluating Payment Patterns Electronic Report (PEPPER) summarizes facility-specific data statistics for Medicare services that may be at risk for improper payments.Read More »
Upon reviewing 2,145 inpatient claims at 25 providers, the Office of Inspector General (OIG) found that all but one claim incorrectly included the diagnosis code for kwashiorkor. This resulted in overpayments in excess of $6 million, according to...Read More »
Mandatory bundled payment programs for surgical hip and femur fracture treatment along with the cardiac rehabilitation incentive payment model, were canceled by CMS last Thursday, AHA News Now...Read More »
Tammy Combs, RN, MSN, CDIP, CCS, CCDS, will present “How to Mitigate and Manage Denials,” on Day 2 of the ACDIS conference. Combs is the director of HIM practice excellence, CDI/nurse planner at AHIMA in Chicago, Illinois....Read More »
Rush University Medical Center in Chicago did not comply with Medicare billing requirements for 57 inpatient and outpatient claims reviewed by the OIG, according to the OIG’s November report. According to the report, this...Read More »
Last week, Kate Goodrich, MD, director, CMS Center for Clinical Standards and Quality & CMS Chief Medical Officer, announced a new resource...Read More »
At the end of September, CMS called for input on the CMS Innovation Center’s future. The Innovation Center is tasked with testing new payment and delivery models to reduce healthcare spending while improving patient care, according to their website. CMS accepted comments through November 20. Read More »
