In the 2022 Proposed OPPS rule, CMS proposed increased penalties for non-compliance with the Hospital Price Transparency Final Rule. Backg...
THE 2022 MEDICARE PROPOSED OPPS RULE HAS BEEN RELEASED
CMS released the 2022 Proposed OPPS rule yesterday. The 863 page Proposed Rule contains a number of notable items including: CMS is not el...
2022 PROPOSED MEDICARE PHYSICIAN FEE SCHEDULE
CMS released the 2022 Proposed Physician Fee Schedule yesterday. The 1,747 page document contains numerous, important proposals including: Massiv...
OIG Hospital Compliance Audit – High Risk Areas
The OIG recently published a hospital compliance audit report that addressed several high risk areas already identified by the OIG and CMS in prior au...
The Latest on E/M from the DOJ and CMS
DOJ SETTLES E/M CASEThe Department of Justice (DOJ) recently released a settlement of $750,000 with a provider practice for allegations of violating t...
2022 ICD-10 Coding Update
The 2022 edition of ICD-10 contains over 200 diagnosis coding changes. The CDC has just announced its release of the FY 2022 ICD-10-CM code set ...
OIG to Audit Physician Reporting of Place of Service
The OIG has released the June update to their Work Plan. The most recent update includes evaluation of physician reporting of place of service (...
OIG Conducts Audits of Medicare Payments for Polysomnography Services
The OIG has recently published several audit reports for polysomnography services provided to Medicare beneficiaries. The OIG selected samp...
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