Despite the nearly $1.5 billion settlement CMS paid to hundreds of U.S. hospitals as part of a longstanding Medicare billing dispute, the Department of Health and Human Services is still experiencing significant delays in Medicare appeals.
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CMS doled out $1.5 billion to more than a third of U.S. hospitals as part of a longstanding Medicare billing dispute, according to data released by the agency. The top payouts include New York-Presbyterian Hospital ($16 million), North Shore University Hospital in Manhasset, New York ($14.5...Read More »
Hospitals on average misidentify between 7% and 10% of incoming patients when registration staff search the electronic health record (EHR) database for patient records, according to Becker's Hospital CFO.Read More »
$14.2 million. That’s what Medicare paid New York-Presbyterian Hospital in overpayments for 123 claims because the hospital did not have “adequate controls to prevent the incorrect billing of Medicare claims,” according to the Office of the Inspector General (OIG).Read More »
The new MCC/CC lists in 2017 IPPS Final Rule released by CMS on August 2, include several new codes and many new combination codes with greater specificity. Most, however, have little effect on CDI specialists’ daily work. One item, however, hypertension, should raise some interest.Read More »
The newly proposed Sepsis-3 definition has been the subject of great controversy and consternation since its publication in The Journal of the American Medical Association (JAMA) on February 23, 2016. That controversial definition discarded the concept of SIRS as the basis for defining sepsis...Read More »
CMS recently released the 2017 ICD-10-PCS code updates and guidelines, which include changes to certain root operations. Of the updates, the most notable modifications include the addition of root operation for...Read More »
