In CMS
Jul 13th, 2017
The Office of Inspector General’s (OIG) combat on healthcare fraud, waste, and abuse of taxpayer’s money recovers $5 for every $1 spent on investigating, which gives them incentive to target more areas of fraud. The OIG’s latest and largest fraud takedown happened this month when opioid fraud was exposed with the help of state and federal law ...
May 10th, 2017
It’s tough paying for medical coding school, investing your time to learn, and finally passing your coding exam. Then reality sets in that you can’t find a job in your field. Or, there are jobs, but there are only entry level positions that aren’t what you expected. There’s hope. You just have to remember that you may have to work a little to ...
May 9th, 2017
The Centers for Medicare & Medicaid Services (CMS) has made it easier for clinicians to determine their eligibility in the Merit-based Incentive Payment System (MIPS): A new interactive online tool allows clinicians to determine their status simply by entering their national provider identifier. Last month, CMS also started sending Medicare-participating clinicians notices in the mail to inform...
Feb 13th, 2017
Forget the traffic gridlock to the huge, metro medical center where you’re bound to get lost. Drive past the sketchy strip mall’s urgent care center and go to the neighborhood microhospital for your care. These eight to 20 bed facilities comprise the newest service for those living in urban and suburban areas. Get quicker access to ...
In Audit
Jan 19th, 2017
In the 2017 Work Plan, the Office of Inspector General (OIG) is reviewing Medicare’s billing and reimbursement integrity for two diagnosis-related groups (DRGs): inpatient claims for kwashiorkor diagnosis and mechanical ventilation. Kwashiorkor is a severe protein malnutrition that usually “affects children living in tropical and subtropical parts of the world during periods of famine or ...