Of all the Recovery Auditor denials, hospitals reported appealing about 50% with more than a 50% success rate—it’s 50/50 game that hospitals...Read More »
In the first half of the 2014 fiscal year, the Office of the Inspector General (OIG) reported more than $3 billion in audit recoveries, nearly $3...Read More »
At the close of fiscal year 2013, nearly 5,000 claims denials remained pending review at the Department Appeals Board (DAB) – the last level of...Read More »
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...Read More »
The announcement that ICD-10 would be delayed once again made waves throughout the healthcare industry. In the wake of the passing of the...Read More »
The Office of the Inspector General (OIG) found that Robert Packer Hospital in Sayre, Pa., part of Guthrie Health System, was overpaid $1.876...Read More »