The 2023 Medicare Fee-For-Service Improper Payments Report was just released. The report identified an estimated $31.23 billion in improper paym...
OIG Semiannual Report to Congress
The OIG has issued their Semiannual Report to Congress for the period April 1, 2023 through September 30, 2023. The report highlights $3.44 billio...
New Requirements for Hospital Price Transparency in 2024
The 2024 OPPS Final Rule was published last week and contained significant updates and changes to the hospital price transparency rules, many of which...
The OIG Issues New Compliance Guidance
Office of Inspector General (OIG) released their new General Compliance Program Guidance (GCPG) today and it is a must-read for all healthcare complia...
CMS Makes Major Change to Split/Shared Rule for 2024
The 2024 Medicare Physician Fee Schedule Final Rule was released today. In a shocking turn of events, CMS announced in the Final Rule they will be...
2024 Split/Shared Services
The 2024 CPT Manual is available. The update includes 230 new CPT codes, 49 code deletions and 70 revisions. The manual also includes new ...
Overpayments Related to Improper HCCs Continue to Increase
The government is increasing enforcement efforts around proper risk adjustment coding (HCC coding). We continue to see regular audit reports det...
CMS Releases the 2024 IPPS Final Rule
The Medicare 2024 Final Inpatient Prospective Payment Rule has been published. Some notable changes for the upcoming year include: 3.1% increase in ...
OIG Work Plan Update Aimed at Medicare Advantage Risk Adjustment Coding
Today, the OIG issued their July Work Plan. The update is heavily focused on risk adjustment coding (Hierarchical Condition Category (HCC) Codin...
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