About a year ago, surgeons working for the University of Virginia Health System raised concerns they could face jail time for overcharging patients as they said their superiors were instructing.
When seven expectant mothers in Palm Beach County had their babies delivered by midwives at Florida Woman Care, one of the largest female health care operations in the state, the cost should have been ...
The senior interest group is putting its backing behind bipartisan legislation aimed at preventing the practice of upcoding in Medicare Advantage, when healthcare providers bill for inaccurate codes ...
DEAR DR. ROACH: When I have appointments with my physicians (at our local, highly rated academic health system), they no longer do a physical exam. But in the after-visit note, there is a documented ...
Listen to the article 6 min. Please let us know if you have feedback. –A Medicare Advantage plan run by CVS inflated diagnoses for its members between 2018 and 2019, resulting in almost $7 million in ...
A new study suggests "upcoding" practices are growing across outpatient service lines. The report, compiled by researchers at Trilliant Health, found that the share of visits that were coded at higher ...
Between 2018 and 2023, the number of visits coded at higher complexity levels grew across all outpatient settings, according to a study from Trilliant Health, published May 14. Here are five things to ...
Democrats are calling on GOP leaders to discard Medicaid cuts and instead address Medicare Advantage "upcoding" to tackle federal waste. In a letter to Senate Majority Leader John Thune and House ...
Democrats are calling on GOP leaders to discard Medicaid cuts and instead address Medicare Advantage "upcoding" to tackle federal waste. In a letter to Senate Majority Leader John Thune and House ...
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