CMS released the 2022 Proposed Physician Fee Schedule yesterday. The 1,747 page document contains numerous, important proposals including: Massiv...
OIG Hospital Compliance Audit – High Risk Areas
The OIG recently published a hospital compliance audit report that addressed several high risk areas already identified by the OIG and CMS in prior au...
The Latest on E/M from the DOJ and CMS
DOJ SETTLES E/M CASEThe Department of Justice (DOJ) recently released a settlement of $750,000 with a provider practice for allegations of violating t...
2022 ICD-10 Coding Update
The 2022 edition of ICD-10 contains over 200 diagnosis coding changes. The CDC has just announced its release of the FY 2022 ICD-10-CM code set ...
OIG to Audit Physician Reporting of Place of Service
The OIG has released the June update to their Work Plan. The most recent update includes evaluation of physician reporting of place of service (...
OIG Conducts Audits of Medicare Payments for Polysomnography Services
The OIG has recently published several audit reports for polysomnography services provided to Medicare beneficiaries. The OIG selected samp...
OIG Releases Semi Annual Report to Congress
The OIG has issued their Semi Annual Report to Congress for the period, October 1, 2020 through March 31, 2021. The Spring 2021 Semi Annual ...
CMS Issues Price Transparency Warnings
CMS has sent its first wave of warning letters out to hospitals who have not complied with federal rules requiring them to disclose payer-negotiated p...
OIG Highlights Hospital Coding & Billing Risk Areas
With the slowing of COVID-19 cases in many parts of the country, CMS and the OIG are getting back to auditing high risk areas of regulatory compl...
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