OIG: Canceled surgeries driving up Medicare costs

The Centers for Medicare & Medicaid Services could save more than $19 million per year if it tightened up billing rules around canceled elective surgeries, according to a new report from the Office of the Inspector General. According to the OIG, most inpatient claims revolving around those elective surgeries were not reasonable, either because the hospital wasn't prepared to treat the patient, or the the patient wasn't prepared to undergo the procedure. The agency sampled 80 claims representing $345,717 in payments to reach its conclusion. Article


Suggested Articles

John Muir Health is joining forces with Optum as part of an effort to maintain its independence, the two companies announced. 

Clinical Pathology Laboratories, based in Austin, Texas, says 2.2 million patients may have had their personal information compromised.

A global budget model launched by Blue Cross Blue Shield of Massachusetts slowed healthcare spending growth by 12% over eight years.