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...
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...