Community Hospital in Munster, Indiana, is disputing an Office of Inspector General (OIG) report that found DRG assignment errors and incorrect inpatient rehabilitation facility (IRF) claims, resulting in an projected $22,051,602 in overpayments.Read More »
The improper payment rate for routine venipuncture lab tests was 16.3% in 2018, representing more than $20 million, and medical necessity errors accounted 98.9% of the improper payments, according to CMS.Read More »
A Comprehensive Error Rate Testing (CERT) study showed that insufficient documentation causes most improper payments for observation and inpatient care services, according to the January 2019 Medicare Quarterly Compliance Newsletter.Read More »
CMS' administratorurged hospitals to go above and beyond the price transparency requirements laid out in the 2019 IPPS final rule. The requirement that hospitals post a list of their standard charges online in a machine-readable format went into effect January 1.Read More »
Hospital stakeholders "immeasurably pleased" with the court's "carefully reasoned decision." HHS says the ruling could harm funding for other vital healthcare programs.Read More »
Hospitals are allowed to publish a list of charges that contains UB-04 revenue codes when complying with 2019 IPPS final rule requirements requiring the publication of standard charges, the American Hospital Association (AHA) said in a ...Read More »
On December 4, CMS released additional FAQs regarding the 2019 IPPS final rule requirement that hospitals post a list of their standard charges on the internet.Read More »
CMS recently released the 2019 NCCI Policy Manual for Medicare Services, which includes updates to payment policies and coding methodologies effective January 1.Read More »
