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SPOTLIGHT: Documentation, evidence-based admission guidelines help hospitals fight payer audits

Post-payment audits by Medicare and private insurers often look at the medical necessity of admitting patients through hospital emergency departments and find that many patients should have been held Read more...

CMS to fight Medicare, Medicaid fraud with high-tech 'bounty hunters'

Medicare and Medicaid fraud cost American taxpayers some $54 billion last year. (We've long believed that Medicare fraud is the unofficial state sport of Florida.) CMS has tried many approaches to Read more...

Coding professionals have lots of options at AHIMA meeting

AHIMA has deep roots in coding, and the organization is staying true to its heritage with a strong dose of coding education. It starts Saturday, Oct. 3, and Sunday, Oct. 4, with a preconference Read more...