Last week, the OIG released a report on Part A claims for inpatient hospital stays from FY 2014 through FY 2019. The report indicates that approximate...
OIG Work Plan Update: Lab Tests During COVID
In their most recent Work Plan update, the OIG has announced they will conduct a series of audits for Medicare Part B laboratory services provided dur...
The OIG Plans to Audit Telehealth Services
The OIG updated their Work Plan last week. Through the update, they announced they will be conducting audits of Medicare Part B telehealth servi...
CMS to Begin Hospital Price Transparency Audits
CMS will begin auditing hospital compliance with the Hospital Price Transparency requirements. The audits are expected to begin this ...
The 2021 MPFS Conversion Factor has been Updated
In a special edition publication from CMS, the 2021 conversion factor was released and confirmed to be $34.8931. This is a modification from the...
2020 Report on Improper Medicare Payments
The 2020 Comprehensive Error Rate Testing (CERT) report was published last week. The report details information regarding fee-for-service (FFS) paym...
Congress Removes Physician Fee Schedule Cuts
Congress has waived the budget neutrality requirement that would have resulted in a 10% conversion factor cut outlined in the 2021 Medicare Physician ...
OIG Releases Semi Annual Report to Congress
The OIG has issued their Semi Annual Report to Congress for the period, April 1 through September 30, 2020. The Fall 2020 Semi Annual Report...
CMS Releases the 2021 OPPS Final Rule
The 2021 Medicare Final Outpatient Prospective Payment System (OPPS) rule was released yesterday. The provisions contained within the final rule...
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