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 [...]
High frequency hearing impairment outweighed low. The research study found that about 10 percent of the 13,967 participants sampled had at least moderate sleep apnea. Nineteen percent had high frequency hearing impairment, 1.5 percent had low frequency hearing impairment, and [...]
Question: Our patient was difficult to rouse and was extremely drowsy due to an unintentional overdose of Ambien. How should we code for him? New York Subscriber Answer: Your first step in coding for this patient is to figure out [...]
Hint: List three codes for poisonings. Fact: Reporting E codes isn't always optional in home health, so you'll need to know when you're required to list a code to describe the cause of a patient's injury or poisoning. Follow these [...]
Big changes in Medicaid fraud scrutiny could mean big changes in drug pricing. Medicaid rebates and drug pricing issues are heating up, and drug manufacturers are examining their practices to set things right. The latest example: Bristol, TN-based King Pharmaceuticals [...]
