Last week CMS issued Transmittal 11842. The Transmittal outlines changes to the instructions for Evaluation and Management (E/M) services within...
2023 Proposed Medicare Physician Fee Schedule
CMS has released the 2023 Proposed Physician Fee Schedule. The proposed rule is more than 2,000 pages and contains numerous, important rule change...
2023 E/M Changes are Here
AMA has issued an early release of the 2023 E/M changes. The AMA had previously indicated they would be revising a significant portion of the E/...
CMS Finalizes Major Changes for Split/Shared and Critical Care
The 2022 CMS Final Medicare Physician Fee Schedule (MPFS) contains substantial changes to the split/shared and critical care rules. These changes impa...
Physician Emergency Department Encounters to be Audited
The August update to the OIG Work Plan has been released. The most recent update includes auditing of Medicare professional emergency depar...
OIG Report on CCM Overpayments
The OIG recently released a report that found CMS has continued to make overpayments for Chronic Care Management (CCM) services despite prior audit re...
2022 PROPOSED MEDICARE PHYSICIAN FEE SCHEDULE
CMS released the 2022 Proposed Physician Fee Schedule yesterday. The 1,747 page document contains numerous, important proposals including: Massiv...
The Latest on E/M from the DOJ and CMS
DOJ SETTLES E/M CASEThe Department of Justice (DOJ) recently released a settlement of $750,000 with a provider practice for allegations of violating t...