CMS has issued updated guidance regarding the appropriate billing of drugs/biologicals. The new guidelines apply to all providers and are effective ...
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...
OIG Plans New Compliance Guidance and Issues a New Toolkit
On Tuesday, Inspector General Grimm made several important announcements during her presentation at the Healthcare Compliance Association’s Complian...
CMS Releases the 2024 IPPS Proposed Rule
The CMS released the 2024 Proposed Inpatient Prospective Payment Rule yesterday. Some notable changes for the upcoming year include: 2.8% increase i...
DOJ Guidance on Evaluating Compliance Effectiveness
The Department of Justice (DOJ) has issued an update to their Evaluation of Corporate Compliance Programs (ECCP) guidance document. They have also a...
CMS is Ending Certain PHE Waivers
Last week, CMS issued guidance for providers pursuant to the announcement on February 9th that the Public Health Emergency (PHE) for COVID-19 will end...
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...
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