News & Analysis

April 15, 2019
Medicare Web

Q: What are the recommended key performance indicators to include on a payer scorecard?

April 10, 2019
Medicare Web

Representatives from CMS and the Office of Inspector General (OIG) discussed hot topics and focus areas at HCCA's 2019 Compliance Institute in Boston, including developing interactive documentation checklists, potential changes to Stark Law this year, and methods to address the high rate of coding and documentation errors on inpatient rehabilitiation facility (IRF) claims.

April 1, 2019
Medicare Web

Q: What are the recommended elements of a Medicare appeals program?

March 18, 2019
Medicare Web

Q: What statistics are recommended to include in denial summary reports?

March 11, 2019
Medicare Web

Q: What's the process for a fourth level Medicare appeal?

February 27, 2019
Medicare Web

Community Hospital in Munster, Indiana, is disputing an Office of Inspector General (OIG) report that found DRG assignment errors and incorrect inpatient rehabilitation facility (IRF) claims, resulting in an projected $22,051,602 in overpayments.