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.

Excerpts from this story referencing "Health":

"… ds to overbill Medicare, top government officials swung into action. U.S. Health and Human Services Secretary Kathleen Sebelius and Attorney General Eric H …"

"… order to inflate what providers get paid.” Sue Bowman, of the American Health Information Management Association, said her testimony in Baltimore would …"

Feds tighten scrutiny of health records

By Fred Schulte

Feds increase scrutiny of how electronic systems affect billing

Excerpts from this story referencing "Health":

"… elle Dougherty, director of research and development for the American Health Information Management Association,  said the new directive “will h …"

"… al professionals who made the switch.Yet late last year, the Department of Health and Human Services Office of Inspector General said its contractors had de …"

"… sultant who serves on a panel on fraud and abuse for the trade association Healthcare Information and Management Systems Society, or HIMSS, said that one of …"

Suit alleges retaliation for exposure of upcoding

By Fred Schulte

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

Excerpts from this story referencing "Health":

"… ways to put the brakes on escalating Health care costs. On Sept. 24, U.S. Health and Human Services Secretary Kathleen Sebelius and Attorney General Eric H …"

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

Excerpts from this story referencing "Health":

"… he Health plan for more complex and costly services than they deliver.U.S. Health and Human Services Secretary Kathleen Sebelius and Attorney General Eric H …"

"… bill for services never provided. The Department of Justice, Department of Health and Human Services, the FBI and other law enforcement agencies are monitor …"

"… letter are: the American Hospital Association, the Association of Academic Health Centers, the National Association of Public Hospitals and Health Systems, …"

"… Academic Health Centers, the National Association of Public Hospitals and Health Systems, the Federation of American Hospitals.The association of public ho …"

Billing complexity spawns new industry

By Fred Schulte

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

Excerpts from this story referencing "Charles Grassley":

"… y “revenue maximization” consultants.At the ensuing hearing, U.S. Sen. Charles Grassley, R-Iowa, lamented that officials had no way to know how many doctors were …"

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 "Health":

"… aid Barbara Vandegrift, a Health care consultant at Tennessee-based Quorum Health Resources. “It’s ‘wait until we get caught and we’ll fight it at t …"

"… ,” said Judith Kelly, director of Health information management at Unity Health System in Rochester, N.Y. To address the issue, Kelly said CMS should issu …"

"… he cut. In 2002, the American Hospital Association (AHA) and the American Health Information Management Association, an association representing Health inf …"

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 "Health":

"… er Trussell, who directs the investigations unit of the U.S. Department of Health and Human Services Office of Inspector General. “We are all excited abo …"

"… e more diligently would justify higher codes and fees. The HHS Agency for Healthcare Research and Quality, an advocate for pressing ahead with electronic h …"

"… he administration of President George W. Bush. In July 2005, the American Health Information Management Association identified an “unintended incentive f …"

"… ch was commissioned by HHS officials. Two months later, a second American Health Information Management Association panel stated that “without a delibera …"

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 "Medicare fraud":

"… Obama administration has made a significant commitment to cracking down on Medicare fraud and abuse, officials don’t appear to have an aggressive strategy for cut …"