On the heels of CMS data exposing a range of charges for inpatient services, information the agency released on Monday about outpatient services shows that hospitals' initial charges are many times the amount Medicare pays.
In some cases mirroring problems from the old UPIN system, the two Medicare provider databases have high inaccuracy and inconsistency rates that need to be addressed if CMS is to actively prevent fraud, the OIG said.
While criminals tap into traditional skills to thieve tremendous sums from the vulnerable medical ecosystem, by using big data and analytics, healthcare agencies can now reverse the pay-and-chase investigative process to better detect and fight fraud.
In final medical loss ratio rules for Medicare Advantage and prescription drug plans, CMS offered a fairly broad set of allowable IT expenses under the category of quality improvement, with some exceptions.
In Friday's Health IT Social Media Tweetchat, sponsored by HL7 Standards, tweeters pondered whether the ICD-10 delay should be skipped and moved onto ICD-11. Either way, the topic is heating up on all social media channels. Here is a recap of what Twitter users and health IT experts are saying.
Gingrich stays on point that the initial step toward dismantling 40 percent of President Obama's government on his first day would be repealing health care. Romney maintains he would enable states to opt out.