CMS released the 2021 Proposed Physician Fee Schedule today. The 1,353 page document contains numerous, important proposals including: Expansion ...
The OIG Plans to Audit Hospital Bad Debt
The OIG updated their Work Plan this week. Through the update, they announced they will be conducting audits of hospital bad debt. Specifi...
CMS Announces Medical Reviews Starting August 3, 2020
CMS announced through an FAQ that it will resume its Fee-For-Service (FFS) medical reviews that were previously suspended due to the COVID crisis...
Incorrect ICD-10 Assignment of Severe Malnutrition Leads to Massive Hospital Overpayments
Last week, the OIG issued a new audit report that estimates $1 Billion in Medicare overpayments to hospitals due to improper ICD-10 assignment for sev...
Happy Independence Day
As we take time to honor this special day, we want to wish you and your family a safe and happy holiday. The HBE team thanks you for your contin...
June Update to the OIG Workplan
The OIG has issued the June update to their Workplan. The newest update contains a couple of notable additions for providers. Advanced Care Plan...
July 2020 OPPS Update
CMS has issued their July 2020 update of the Hospital Outpatient Prospective Payment System (OPPS). The update contains a number of notable...
OIG Issues Semiannual Report to Congress
The OIG has issued their Semiannual Report to Congress for the reporting period October 1, 2019 to March 31, 2020. The report details the OIG’...
Avoiding Claims Denials
Claims denials are a top revenue cycle and compliance management challenge. Preventable and unnecessary claims denials result in significant financial...
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