Navigating Treacherous Waters: Medicare’s Final Rule for Reporting and Returning Overpayments
In October 2010 a provision of the Affordable Care Act, Section 6402(a) amended the Social Security Act by inserting several…
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When audit, discipline are not enough, report defrauding providers
A recent case of false claims caught in an internal audit — but not reported to authorities — proved costly…
2022 Predictions for Telehealth and the Digital Front Door
As we head into 2022, we asked the Healthcare IT Today community to share some predictions for the new year.…
Will Patients be Giving a Thumbs Up on their Experiences in 2022?
Patient Experience is not just a buzz phrase. It is a major driver of health IT innovation. The healthcare industry…
Unbundling is undoing; DOJ orders $3 million fee on bad 25, 59, XU claims
A $3 million settlement of False Claims Act charges stemming from inappropriate use of the modifiers 25 (Significant, separately identifiable…
OIG scrutiny demands scouring of CCM records as CMS assesses overpayments
A recent HHS Office of the Inspector General (OIG) audit of selected chronic care management (CCM) claims found many instances…