On April 27, 2021 CMS issued the proposed rule for FY 2022 Medicare Hospital Inpatient Prospective Payment System (IPPS). The deadline for comment is ...
AMA Plans Another E/M Overhaul in 2023
The AMA released their CPT Editorial Summary on March 5th. It contains a number of proposed E/M changes to several categories/service types that...
Significant Clarifications for Outpatient E/M
The AMA issued a recent CPT update which contained important guidance regarding what may and may not be considered in determining the level of medical...
OIG Recommends Targeted Audits of MS-DRGs
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...
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