In an effort to provide helpful information to providers, CMS has released a special edition MedLearn Matters (MLN) article that disseminates diagnosis-related group (DRG) coding vulnerabilities for ...
Less than 5 percent of physician practice have made “significant progress” when rating their overall readiness for tens of thousands of new government-mandated “ICD-10” codes used to describe diseases ...
Incorrect diagnosis codes from providers led to a $14 million windfall for some Medicare Advantage plans, a federal watchdog found. The Department of Health and Human Services’ Office of Inspector ...
The health care industry is “not progressing at a suitable pace” to be ready for tens of thousands of new government-mandated “ICD-10” codes used to describe diseases and hospital procedures in the ...
WASHINGTON, April 2 -- The Health and Human Services Inspector General issued the following audit report (No. A-07-19-01192) on March 2023 entitled "Medicare Advantage Compliance Audit of Specific ...
Don't code hospital records prematurely, warns Donna Wilson RHIA, CCS, CCDS, senior director at Compliance Concepts, Inc. Wilson's advice follows a recent article from The Centers for Medicare & ...
The Centers for Medicare & Medicaid Services (CMS) has granted Elevance Health additional time to address alleged data ...
Conclusions: Our findings suggest that Medicare inpatient encounters are associated with higher coding intensity than ...
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