Recovery auditors collectively identified and corrected more than a million claims for improper payments, resulting in $2.57 billion dollars being corrected, according to CMS’ fiscal year (FY) 2014 report on the recovery audit contractor (RAC) program.Read More »
This isn’t the first time we’ve heard about hospitals billing for Kwashiorkor, a form of severe protein malnutrition typically found in third-world countries that is extremely rare in the United States.Read More »
A federal judge, finding in favor of hospitals, rejected CMS’s arguments that it met all legal requirements for rulemaking when the organization cut hospital inpatient payments by 0.2% in conjunction with its 2-midnight policy, according to a statement issued by the American Hospital Association...Read More »
A new proposal introduced by the House Ways and Means Committee aims to match payment rates and methods for surgical procedures regardless of whether they are performed on an inpatient or outpatient basis, according a...Read More »
CMS attempted, once again, to resolve ongoing patient status confusion—this time in its Outpatient Prospective Payment System (OPPS) proposed rule.Read More »
Want to know what the top 10 MS-DRGs are in the country? Just ask CMS, which released its third annual update to the Medicare hospital inpatient and outpatient charge data in June.Read More »
