In response to the widespread outbreak of the 2019-Novel Coronavirus (COVID-19), CMS has released two HCPCS codes for laboratories to report COVID-1...
Official Coding Guidance for Reporting COVID-19
In light of the COVID-19 outbreak, the Centers for Disease Control and Prevention has released Official Coding Guidance for reporting health care enco...
CMS Releases List of Mandatory Shoppable Services
Last November, CMS finalized the proposed hospital price transparency rules which will be effective January 1, 2021. The final rule requires hos...
The OIG Identifies Overpayments for CCM
The OIG released a report that revealed Medicare made hundreds of thousands of dollars in overpayments for chronic care management (CCM) services whic...
The DOJ Settles “Incident to” False Claims Case
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...
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