Feds propose shakeup for emergency room billing

By Fred Schulte

Proposal seeks to counter alleged over-billing with standardized rate

Excerpts from this story referencing "CMS":

"… w proposal, though still preliminary, is already drawing fire on its own. CMS officials want to replace five escalating price codes hospitals can choose …"

"… receive our Health newsletter. ------------------------- Still, the draft CMS fee proposal, first released in July, has already drawn sharp critiques fr …"

"… major change.” ‘Upcoding’ prevention In presenting the changes, CMS appears to be searching for a foolproof way to prevent hospitals from pick …"

"… e known as “upcoding.” Hospitals deny they engage in upcoding.   CMS used claims Medicare paid during 2012 to calculate the proposed new rate a …"

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

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 "Nevada":

"… hospital lawyers wrote in court filings. …"

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 "Senate Finance Committee":

"… illed for were medically necessary,” Locatell testified at the June 2001 Senate Finance Committee hearing.Despite much legislative hand-wringing and media attention — CBS …"

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.

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 "American Medical Association":

"… packages in use across the country. That shortcoming caught the eye of the American Medical Association, which helped develop the billing codes and favors stricter government sta …"

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 "Princeton University":

"… e AMA controls their publication and aggressively enforces its copyright. Princeton University Professor Uwe E. Reinhardt, a prominent health care economist, said govern …"