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...
Improper Billing of Mid-Level Practitioner Services
Last week, the Department of Justice (DOJ) announced a $516,718 false claims settlement related to improper billing of mid-level practitioner services...
CMS Issues Hospital Price Transparency Update
Last week CMS announced enforcement updates related to hospital price transparency and issued a new fact sheet for providers. The hospital price...
Time-Based Services Under Scrutiny
Last week CMS issued Transmittal 11842. The Transmittal outlines changes to the instructions for Evaluation and Management (E/M) services within...
CMS Medicare Advantage Final Rule Takes Aim at Risk Adjustment Coding
Yesterday, CMS released the Medicare Advantage (MA) Risk Adjustment Data Validation Final Rule. The Final Rule is intended to strengthen the acc...
Coding and Compliance in 2023
Happy New Year from the HBE Advisors team! As we begin 2023, it is a great time to validate your coding and compliance programs are up to date wit...
OIG Work Plan Update
In their most recent Work Plan update, the OIG announced they will conduct a nationwide audit of inpatient rehabilitation facilities (IRFs) and review...
Price Transparency Compliance
Is price transparency on your compliance work plan? If it isn’t, there may now be 1,097,500 reasons to consider adding it! That is the d...
2022 Compliance Trends
Identifying compliance trends and proactively evaluating them within your organization is a key component of an effective program. As consultant...
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