EHR tag game can be dangerous when used to support E/M levels. You might have heard about the dangers of “cloning,” or copying documentation from a previous patient encounter into the current note. Now there’s a new potential danger: Tagging. Here’s what you’ll need to know to be sure you’re not over-coding, based on tags ...
Jul 17th, 2018
If you are wondering where $341,000 of your taxpayer money went, look to former U.S. Department of Health and Human Services (HHS) Secretary Tom Price’s chartered aircraft expenses. On July 13, he resigned due to investigations of his use of chartered aircraft, MilAir, and other government travel-related expenses, which did not comply with federal regulations ...
Jul 9th, 2018
A former fraud investigator for Anthem, Inc. is one of five people indicted on federal healthcare fraud charges. Those indicted participated in a multi-year scheme to commit fraud against at least eight health insurance companies. The fraud investigator from Anthem provided the other defendants with confidential Anthem information that assisted them file fraudulent claims to ...
In Billing
May 4th, 2018
From Nov. 1, 2007 through Dec. 31, 2016, Banner Health billed Medicare for short-stay, inpatient procedures provided at 12 of its hospitals in Arizona and Colorado that should have been billed on a less costly outpatient basis, and inflated in reports to Medicare the number of hours for which patients received outpatient observation care, according ...
In Audit
May 2nd, 2018
Have you always wanted to see what an Office of Inspector General (OIG) investigational take down of a healthcare fraud scheme is like? Now is your chance. The U.S. Department of Health and Human Services’ (HHS) has a “This is Real” series of podcasts, which takes you undercover with OIG special agents as they work ...