CMS announced through an FAQ that it will resume its Fee-For-Service (FFS) medical reviews that were previously suspended due to the COVID crisis...
Incorrect ICD-10 Assignment of Severe Malnutrition Leads to Massive Hospital Overpayments
Last week, the OIG issued a new audit report that estimates $1 Billion in Medicare overpayments to hospitals due to improper ICD-10 assignment for sev...
June Update to the OIG Workplan
The OIG has issued the June update to their Workplan. The newest update contains a couple of notable additions for providers. Advanced Care Plan...
July 2020 OPPS Update
CMS has issued their July 2020 update of the Hospital Outpatient Prospective Payment System (OPPS). The update contains a number of notable...
OIG Issues Semiannual Report to Congress
The OIG has issued their Semiannual Report to Congress for the reporting period October 1, 2019 to March 31, 2020. The report details the OIG’...
CMS Issues New COVID Waivers and Expands Coverage
Last week, CMS published guidelines for expanded coverage and payment for services rendered during the public health emergency. Some of the nota...
HBE Advisors Offers Denial Management Services
HBE Advisors prides itself on supporting our clients for over two decades. We are here to serve our clients’ needs and assist with issues as t...
Updates to the OIG Work Plan
There are several notable additions to the OIG Work Plan which include: Medicare Part B Payments for Co-surgery Procedures – The focus will be on au...
The AMA Releases Two New CPT Codes for COVID-19 Antibody Testing
In response to the continued widespread outbreak of COVID-19, the AMA has revised one CPT code and released two additional CPT codes to repo...