The 2022 Medicare Physician Fee Schedule Final Rule contained significant revisions for proper reporting of critical care services. The changes ...
CMS Releases the 2023 IPPS Proposed
CMS released the 2023 Proposed Inpatient Prospective Payment Rule. The 1,786 page document includes some major changes for the upcoming year inc...
The DOJ is Set to Increase Criminal Enforcement
The United States Attorney General recently discussed the 2022 priorities of the Department of Justice (DOJ). In his remarks he indicated the DOJ wi...
OIG to Resume Audits of Short Stay Admissions
The OIG has updated their Work Plan and announced they will resume audits of short stay admissions to determine hospital compliance with the “tw...
2022 Compliance Trends
Identifying compliance trends and proactively evaluating them within your organization is a key component of an effective program. As consultant...
The 2021 Medicare FFS Improper Payment Report
The 2021 Medicare Fee-For-Service Improper Payments Report was released last week. The report is a valuable resource for healthcare compliance p...
OIG Semiannual Report to Congress
The OIG has issued their Semiannual Report to Congress for the period April 1, 2021 through September 30, 2021. The report highlights nearly...
OIG to Audit High Risk DRGs
The OIG has released the November update to their Work Plan. The most recent update includes plans to audit hospital claims billed with mechanical v...
CMS Finalizes Major Changes for Split/Shared and Critical Care
The 2022 CMS Final Medicare Physician Fee Schedule (MPFS) contains substantial changes to the split/shared and critical care rules. These changes impa...
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