Physician evaluation and management (E/M) payments cost Medicare $32.3 billion in 2010—about 30% of all Part B payments that year—and of that amount, about $6.7 billion were incorrectly coded or documented, according to an Office of...Read More »
Oakwood Hospital and Medical Center (the Hospital), in Dearborn, Mich., is the latest facility to fall under the sights of the Office of the Inspector General (OIG) for inappropriately assigning diagnosis code 260 for Kwashiorkor.Read More »
The Department of Health and Human Services (HHS) recently released its fiscal year (FY) 2014–2018 strategic plan, which outlines four core goals.Read More »
Not medically and reasonably necessary. Records not submitted. Lack of inpatient admission orders. Information submitted doesn’t support the services supplied for the dates billed.
These four, seemingly simple, reasons represent the top denials for Palmetto GBA, Medicare Administrative...Read More »
After a decade of performance-based healthcare payment initiatives, the Department of Health and Human Services decided it was high-time to take a look at the success of those initiatives even as it embarks of additional value-based purchasing (VBP) measures across an array of healthcare...Read More »
