As health plans attempt to measure the acuity of new patients through the Affordable Care Act’s healthcare marketplace exchange, hospital audit teams will see a huge influx of commercial risk ...

The American Hospital Association is asking federal Medicare leaders to stem the practice of using sample hospital audit data to extrapolate overpayments eligible for recovery. In a letter to outgoing ...

The takeaway: The case resulted in a partial but significant reduction of the bill, yet it also raises broader questions about the accessibility of billing information and the role of emerging ...

Background The National Heart Failure Audit gathers data on patients coded at discharge (or death) as having heart failure as ...

The audit linked to a Michigan psych hospital for children has been pushed back. ---> Find more coverage about the Hawthorn Center here. Sen. Michael Webber called for a state audit of the Hawthorn ...