Tiny Babies- Huge Cost: The NICU Impact on Overpayments and Fraud
This session reviewed the impact of premature births in the United States on the utilization and spend on Neonatal Intensive Care Unit (NICU) services. The speakers discussed billing and payment methodologies and their implications for potential overcharges and overpayments, either as a result of errors or patterns of inappropriate billing. The session demonstrated how robust analysis and focused audits can identify NICU claims with a likelihood of being billed at a higher level of care than was rendered, as well as instances where treatment in the NICU unit was not medically necessary.
Rodger Smith, SVP Payer Solutions, SCIO Health Analytics
James Wood, M.D., , Medical Director, SCIO Health Analytics
Held on: June 14, 2016