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Encompass Health Corp. has settled charges that it upcoded inpatient rehabilitation facility claims for $48 million, and three whistleblowers will receive $12.4 million of it. Beginning in 2007, some Encompass IRFs falsely diagnosed patients with what they referred to as [...]
High-profile cases paint industry with fraud brush. The hospice industry continues to draw fraud-fighting attention from the feds, as shown in a recent report on the Health Care Fraud and Abuse Control Program operated jointly by the OIG and DOJ. [...]
The industry is still living down the Dr. Jacques Roy case. Don't expect fraud and abuse scrutiny to let up any time soon, with the HHS Office of Inspector General reporting $2.4 billion in judgements and settlements in fiscal year [...]
EHR vendor's shoddy software causes false claims - and a $155 million fine. Data drives healthcare today and helps Part B providers improve the delivery of care. For honest clinicians, the captured data that health IT harnesses can be a [...]
Feds continue to shine a spotlight on the opioid epidemic. Practices rely heavily on technology to help improve the delivery of care and expedite the claims submission process. For honest providers hoping to utilize the captured data to promote more [...]
In addition to scores, timing becomes crucial for the right GCS code. In the last issue of the Neurosurgery Coding Alert, you had a chance to review the NIHSS codes. Another similar scale used for neurological assessment is the Glasgow [...]
Use additional codes for functional activity. Unlike many conditions that have greater granularity in ICD-10 than ICD-9, you can expect a direct crosswalk for malignant thyroid cancer. Currently, you report the condition as 193 (Malignant neoplasm of thyroid gland). When [...]
Use additional codes for functional activity. Unlike many conditions that have greater granularity in ICD-10 than ICD-9, you can expect a direct crosswalk for malignant thyroid cancer. Currently, you report the condition as 193 (Malignant neoplasm of thyroid gland). When [...]
Your physician will have to think about the hypothyroidism cause. Hypothyroidism is a condition in which there is too little thyroid hormone in the bloodstream. Hypothyroidism is a common condition and is very treatable. Symptoms can include slowed heart rate, tiredness, inability [...]
Your physician will have to think about the hypothyroidism cause. Hypothyroidism is a condition in which there is too little thyroid hormone in the bloodstream. Hypothyroidism is a common condition and is very treatable. Symptoms can include slowed heart rate, tiredness, inability [...]
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