The federal government has intervened in a lawsuit against Sutter Health, taking the side of a whistleblower who claims the nonprofit health...Read More »
CMS and the OIG will conduct a two-part study to assess inpatient hospital billing due to unspecified upcoding in hospital billing—either...Read More »
In FY 2018, 57% of hospitals earned Medicare incentive payments under the Hospital Value-based Purchasing Program. In FY 2019, that number will...Read More »
One pivotal update included in the CMS fiscal year (FY) 2019 Inpatient Prospective Payment System (IPPS) Final Rule is the addition of acute respiratory distress syndrome (ARDS) to the list of diagnoses that count as major complicating conditions and comorbidities (MCC). Although this addition...
