Feds propose shakeup for emergency room billing

By Fred Schulte

Proposal seeks to counter alleged over-billing with standardized rate

Feds 'listen' for sounds of Medicare billing abuse

By Fred Schulte

Baltimore session looks at role of electronic health records in higher medical bills.

Feds tighten scrutiny of health records

By Fred Schulte

Feds increase scrutiny of how electronic systems affect billing

Excerpts from this story referencing "Congress":

"… m paper to digital medical records has enjoyed strong political support in Congress. Yet in recent months Republicans have begun to question the billions in t …"

"… on are part of the nearly $800 billion economic stimulus package passed by Congress in February 2009.  …"

Suit alleges retaliation for exposure of upcoding

By Fred Schulte

Nevada woman claims she was fired after questioning hospital's bills

IMPACT: Cabinet officials signal crackdown on Medicare billing abuse

By Fred Schulte and Joe Eaton

Sebelius, Holder signal new scrutiny in wake of Center series

Billing complexity spawns new industry

By Fred Schulte

Thousands now employed as professional coders, but oversight is lacking.

Excerpts from this story referencing "California":

"… generated a rush of media coverage, but little lasting reform.Locatell, a California physician, helped expose medical billing consultants who made a living tea …"

Hospitals grab at least $1 billion in extra fees for emergency room visits

By Joe Eaton and David Donald

Center probe suggests facilities have taken advantage of government’s failure to set billing standards.

Excerpts from this story referencing "California":

"… have no guidelines,” said Duane Abbey, a hospital billing consultant in California. Medicare administrators acknowledge as much. Since 2000, CMS has repeate …"

Growth of electronic medical records eases path to inflated bills

By Fred Schulte

Billing software helps medical professionals document higher fees.

Excerpts from this story referencing "Obama administration":

"… nitiative hit warp drive with a February 2009 decision by Congress and the Obama administration to spend as much as $30 billion in economic stimulus money to help doctors …"

"… “significant start-up funds” to get the ball rolling. Since 2009, the Obama administration has held dozens of public meetings on electronic health record policies an …"

"… of medical care, has disappointed some longtime health policy hands. The Obama administration’s foray into digital medicine “has backfired at this point,” said Dr …"

"… ant, whose group represents medical practices, noted that Congress and the Obama administration have sent a “clear message” that they want physicians to adopt electro …"

How doctors and hospitals have collected billions in questionable Medicare fees

By Fred Schulte and David Donald

Center investigation suggests cost from upcoding and other abuses likely tops $11 billion.

Excerpts from this story referencing "Virginia":

"… ntractor called Trailblazer audited patient office visits in early 2010 in Virginia and found mistakes in half the records it reviewed. A similar audit in Col …"