The OIG recently released a report that found CMS has continued to make overpayments for Chronic Care Management (CCM) services despite prior audit re...
OIG Conducts Audits of Medicare Payments for Polysomnography Services
The OIG has recently published several audit reports for polysomnography services provided to Medicare beneficiaries. The OIG selected samp...
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...
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...
AMA Releases Important Updates
The AMA released their CPT Errata and Technical Corrections document on March 9th . The document largely includes clarifications and updates to t...
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...
The OIG Plans to Audit Telehealth Services
The OIG updated their Work Plan last week. Through the update, they announced they will be conducting audits of Medicare Part B telehealth servi...
Sweeping E/M Changes Effective January 1, 2021
The AMA and CMS have released significant changes to outpatient office E/M coding. The new coding guidelines will be implemented January 1, 2021...