DEAR DR. ROACH: When I have appointments with my physicians (at our local, highly rated academic health system), they no longer do a physical exam. But in the after-visit note, there is a documented ...

There was an interesting and important recent article in the NY Times about the gradual increase in the average E/M coding levels used by doctors over the last few years. For the non-docs, med ...

Andrew S. Oseran, MD, MBA, MSc, hypothesizes that higher Medicare Advantage (MA) risk scores may result from either a more accurate capture of beneficiaries' comorbidities or inappropriate "upcoding" ...

A Rand study published Dec. 3 reveals that from 2011 to 2019, hospitals in five states significantly increased the frequency of documenting patients as requiring the highest intensity care, resulting ...

Democrats are calling on GOP leaders to discard Medicaid cuts and instead address Medicare Advantage "upcoding" to tackle federal waste. In a letter to Senate Majority Leader John Thune and House ...