The Department of Justice (DOJ) recently announced a False Claims Act settlement with a family practice physician who improperly billed “inciden...
2019 Improper Medicare Payment Report
The 2019 Comprehensive Error Rate Testing (CERT) report was published last week. The report provides detailed information regarding fee-for-service pa...
The OIG Has Released New Hospital Compliance Audit Reports
The OIG recently released three new hospital compliance audit reports. The audits, which focused on both outpatient and inpatient claims, from 2...
OIG Identifies $5.9 Billion in Recoveries
Yesterday, the Office of Inspector General (OIG) issued their Semiannual Report to Congress which estimates nearly $5.9 BILLION in expected recoveries...
Happy Thanksgiving
There is no better time than now to express how grateful we, at HBE Advisors, are for our relationship and your continued support. It is clients...
Hospital Price Transparency Rules Finalized
On Friday, CMS finalized the proposed hospital price transparency rules which will be effective January 1, 2021. Hospitals will be required to m...
OIG Identifies $54 Million Overpayment Related to Incorrect Reporting of Discharge Status
Last week, the OIG released a report detailing their findings of an audit targeting compliance with Medicare’s post-acute-care transfer policy. ...
Free Webinar- The 2021 E/M Changes
We invite you to join us November 19th at 1pm Eastern for our free webinar. Our Principal, Amy Bailey, will be discussing the new outpatient/off...
2020 Medicare Final Rules
Late Friday, CMS published both the Final 2020 Medicare Outpatient Prospective Payment Rule and the Final 2020 Medicare Physician Fee Schedule. The pr...
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