tci Part B Insider - 2014 Issue 33

In other news

Nobody likes to get audited by the OIG, but the American Hospital Association (AHA) has taken its disdain for these audits up a notch by formally asking HHS Secretary Sylvia Burwell to rethink the way it calculates Medicare errors when completing audits. The AHA believes that extrapolation—using a small sampling of claims to calculate an error rate, and then using that error rate to estimate the complete misbilled amount among the entire entity’s charts—is a flawed system, and would like it to be eliminated, wrote the AHA’s Executive Vice President Rick Pollack in an Aug...

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