The OIG has recently published several audit reports for polysomnography services provided to Medicare beneficiaries. The OIG selected samp...
OIG Releases Semi Annual Report to Congress
The OIG has issued their Semi Annual Report to Congress for the period, October 1, 2020 through March 31, 2021. The Spring 2021 Semi Annual ...
CMS Issues Price Transparency Warnings
CMS has sent its first wave of warning letters out to hospitals who have not complied with federal rules requiring them to disclose payer-negotiated p...
OIG Highlights Hospital Coding & Billing Risk Areas
With the slowing of COVID-19 cases in many parts of the country, CMS and the OIG are getting back to auditing high risk areas of regulatory compl...
2022 IPPS Proposed Rule
On April 27, 2021 CMS issued the proposed rule for FY 2022 Medicare Hospital Inpatient Prospective Payment System (IPPS). The deadline for comment is ...
AMA Plans Another E/M Overhaul in 2023
The AMA released their CPT Editorial Summary on March 5th. It contains a number of proposed E/M changes to several categories/service types that...
Significant Clarifications for Outpatient E/M
The AMA issued a recent CPT update which contained important guidance regarding what may and may not be considered in determining the level of medical...
OIG Recommends Targeted Audits of MS-DRGs
Last week, the OIG released a report on Part A claims for inpatient hospital stays from FY 2014 through FY 2019. The report indicates that approximate...
OIG Work Plan Update: Lab Tests During COVID
In their most recent Work Plan update, the OIG has announced they will conduct a series of audits for Medicare Part B laboratory services provided dur...
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