Quality & Regulatory

Use of claims data could soon expand to a host of new entities under proposed rules released in a CMS statement January 29.Read More »

Even though Promise Hospital of Ascension, a 54-bed transitional care hospital located in Gonzales, Louisiana, closed before the Office of the...Read More »

CMS underpaid Medicare Advantage plans for the cost of treating patients with multiple chronic conditions, which the organization admitted to in...Read More »

For calendar years (CYs) 2012 and 2013, Medicare overpaid Nebraska Methodist Hospital in Omaha more than $111,000 for 19 inpatient and outpatient...Read More »

Hospitals are reporting a decrease in improper payments, according to the U.S. Department of Health and Human Services (HHS) annual Agency...Read More »

Boca Raton Regional Hospital in Florida was overpaid $2.6 million over two years, according to an article in Medicare Compliance Review...Read More »

Back in the day (oh, about nine years or so ago), I found myself tucked into my office late into a Thursday evening skimming the tome that was the...Read More »

Quality. It’s been CMS’ mantra over the past few years.

Traditionally, the inpatient prospective payment system (IPPS) final rule’s release...Read More »

This isn’t the first time we’ve heard about hospitals billing for Kwashiorkor, a form of severe protein malnutrition typically found in third-...Read More »

Recovery auditors collectively identified and corrected more than a million claims for improper payments, resulting in $2.57 billion dollars being...Read More »