St. Joseph's Medical Center in Towson, Md., reached a settlement with the United States to pay $4.9 million in connection with its submission of false claims to Medicare, Medicaid, and other federal healthcare programs, announced the Justice Department on February 7.
Editor's note: Facilities need to address coding, payment, and coverage issues for molecular pathology. This article is the first in a series and discusses molecular pathology coding.
Although the results of the Ponemon Institute's Third Annual Benchmark Study on Patient Privacy & Data Security don't paint a pretty picture when it comes to protection of PHI, healthcare organizations can use the dismal statistics to improve compliance.
Our experts answer questions about, modifier -25, cardioversion performed during an ED code, denials for multiple port film line items, and procedure discontinued after administration of anesthesia.
CMS is making a significant change to the Medically Unlikely Edits (MUE) by changing some of them from line-item edits to date-of-service (DOS) edits, effective April 1.