The Department of Justice (DOJ) has issued an update to their Evaluation of Corporate Compliance Programs (ECCP) guidance document. They have also a...
CMS is Ending Certain PHE Waivers
Last week, CMS issued guidance for providers pursuant to the announcement on February 9th that the Public Health Emergency (PHE) for COVID-19 will end...
Time-Based Services Under Scrutiny
Last week CMS issued Transmittal 11842. The Transmittal outlines changes to the instructions for Evaluation and Management (E/M) services within...
CMS Medicare Advantage Final Rule Takes Aim at Risk Adjustment Coding
Yesterday, CMS released the Medicare Advantage (MA) Risk Adjustment Data Validation Final Rule. The Final Rule is intended to strengthen the acc...
Coding and Compliance in 2023
Happy New Year from the HBE Advisors team! As we begin 2023, it is a great time to validate your coding and compliance programs are up to date wit...
2022 Medicare Improper Payments Data
2022 Medicare Fee-For-Service Improper Payments Report was just released. The report identified an estimated $31.46 billion in improper payments...
New OIG Audit Findings
The OIG has released two new reports detailing high payment error rates for Advanced Care Planning and Assistant at Surgery and Co-Surgeon Services. A...
OIG Work Plan Update
In their most recent Work Plan update, the OIG announced they will conduct a nationwide audit of inpatient rehabilitation facilities (IRFs) and review...
2023 Final Medicare Physician Fee Schedule
CMS has released the 2023 Final Medicare Physician Schedule. The rule formally adopts many major changes for the upcoming year including: Decrease i...
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