The 2019 Comprehensive Error Rate Testing (CERT) report was published last week. The report provides detailed information regarding fee-for-service pa...
The OIG Has Released New Hospital Compliance Audit Reports
The OIG recently released three new hospital compliance audit reports. The audits, which focused on both outpatient and inpatient claims, from 2...
OIG Identifies $5.9 Billion in Recoveries
Yesterday, the Office of Inspector General (OIG) issued their Semiannual Report to Congress which estimates nearly $5.9 BILLION in expected recoveries...
Hospital Price Transparency Rules Finalized
On Friday, CMS finalized the proposed hospital price transparency rules which will be effective January 1, 2021. Hospitals will be required to m...
OIG Identifies $54 Million Overpayment Related to Incorrect Reporting of Discharge Status
Last week, the OIG released a report detailing their findings of an audit targeting compliance with Medicare’s post-acute-care transfer policy. ...
Free Webinar- The 2021 E/M Changes
We invite you to join us November 19th at 1pm Eastern for our free webinar. Our Principal, Amy Bailey, will be discussing the new outpatient/off...
2020 Medicare Final Rules
Late Friday, CMS published both the Final 2020 Medicare Outpatient Prospective Payment Rule and the Final 2020 Medicare Physician Fee Schedule. The pr...
OIG Work Plan Update
The OIG monthly Work Plan was released just last week with several notable additions. Speech Therapy Services – The focus will be outpatient therapy...
Corporate Compliance and Culture- Understanding Your Entire Organization
The concept of an effective compliance program is one that has gained tremendous attention from the government. The simple existence of a compli...