News & Analysis

November 22, 2017
News & Insights

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. This resulted in unlawful reimbursement for calendar years 2014 and 2015 with the medical center receiving $814,150 in overpayments, says the report.

November 21, 2017
News & Insights

Participation in the Supplemental Nutrition Assistance Program can lead to decreased healthcare claims and out-of-pocket costs for low-income adults, according to a JAMA Internal Medicine study.

November 20, 2017
News & Insights

I have heard of a modifier -GD in relation to the Medically Unlikely Edits. What is the definition of this modifier and how is it used?

November 20, 2017
Briefings on HIPAA

Poor customer support can put an organization in jeopardy when hardware fails.

November 20, 2017
News & Insights

A national effort to solve patient misidentification errors is suspended, the College of Healthcare Information Management Executives announced on November 15.

November 17, 2017
News & Insights

A CMS representative solicited input from audience members on potential revisions to E/M documentation guidelines at the AMA’s 2018 CPT Symposium in Chicago this week, continuing the agency’s outreach on E/M reform that began with this year’s Medicare Physician Fee Schedule proposed rule. 

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