AMG-SIU saved one of their clients $210,000 by performing an audit on DRG usage. The audit uncovered that many providers were using wrong DRG codes for newborn babies. Correcting the affected claims saved the health plan over $210,000.

As expected, CMS was not able to disseminate the National Provider Identifier (NPI) data in a usable format, even after delaying the release multiple times. The first version of the downloadable file contained the text qualifier in the data. Also, there is no free version of the taxonomy codes. The data is only published as a PDF. Companies are forced to purchase a copy of a usable file.
It is ridiculous that the government forces companies to comply with their rules and regulations but is unable to provide the means to do so.