Ready or not here ICD-10 comes

A monitor with an ecg screen on it

With less than three months until the implementation of the long-awaited ICD-10, it appears many providers are still unprepared – particularly in the areas of testing and assessing the impact it will have on revenue. A new report published by AHIMA and the eHealth Initiative finds that while half of the respondents had completed test…

Read More

CMS’ fraud crackdown relies on high-tech analytics

A magnifying glass over the word analysis.

The government’s crackdown on Medicare fraud is paying off and healthcare providers that bill the government program would be well advised to know that the Centers for Medicare & Medicaid Services is using a high-tech analytics system to identify inappropriate payments. Aptly named the “Fraud Prevention System,†the program has identified or prevented $820 million…

Read More

Federal prosecutors increasingly target individual healthcare execs in anti-fraud efforts

A pile of money that has the word fraud written on it.

Last month’s sentencing of the former president and CEO of OtisMed Corporation to two years in prison should serve as yet another example that federal prosecutors are not holding back when it comes to holding corporate executives accountable. Charlie Chi was sentenced for intentionally distributing a medical device used in knee replacement surgery despite the…

Read More