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OIG Semiannual Report to Congress

HBE Advisors June 6, 2023

The OIG has issued their Semiannual Report to Congress for the period October 1, 2022 through March 31, 2023.  The report highlights over $1 billion in

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Improper Billing of Mid-Level Practitioner Services

HBE Advisors May 17, 2023

Last week, the Department of Justice (DOJ) announced a $516,718 false claims settlement related to improper billing of mid-level practitioner services using a physician’s provider

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New Modifier Requirements for Reporting Drugs and Drug Waste

HBE Advisors May 9, 2023

CMS has issued updated guidance regarding the appropriate billing of drugs/biologicals.  The new guidelines apply to all providers and are effective July 1, 2023. Providers

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CMS Issues Hospital Price Transparency Update

HBE Advisors May 2, 2023

Last week CMS announced enforcement updates related to hospital price transparency and issued a new fact sheet for providers.  The hospital price transparency rules were

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OIG Plans New Compliance Guidance and Issues a New Toolkit

HBE Advisors April 26, 2023

On Tuesday, Inspector General Grimm made several important announcements during her presentation at the Healthcare Compliance Association’s Compliance Institute. Notable takeaways from her remarks include:

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CMS Releases the 2024 IPPS Proposed Rule

HBE Advisors April 11, 2023

The CMS released the 2024 Proposed Inpatient Prospective Payment Rule yesterday.  Some notable changes for the upcoming year include: 2.8% increase in operating payments for

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