The Medicare 2024 Final Inpatient Prospective Payment Rule has been published. Some notable changes for the upcoming year include: 3.1% increase in ...
OIG Work Plan Update Aimed at Medicare Advantage Risk Adjustment Coding
Today, the OIG issued their July Work Plan. The update is heavily focused on risk adjustment coding (Hierarchical Condition Category (HCC) Codin...
CMS Releases the 2024 Proposed MPFS and OPPS Rules
CMS released both the 2024 OPPS and 2024 MPFS Proposed Rules. The lengthy proposals contain a number of notable provisions including: 2024 OPPS ...
OIG Semiannual Report to Congress
The OIG has issued their Semiannual Report to Congress for the period October 1, 2022 through March 31, 2023. The report highlights over $1 billion...
Improper Billing of Mid-Level Practitioner Services
Last week, the Department of Justice (DOJ) announced a $516,718 false claims settlement related to improper billing of mid-level practitioner services...
New Modifier Requirements for Reporting Drugs and Drug Waste
CMS has issued updated guidance regarding the appropriate billing of drugs/biologicals. The new guidelines apply to all providers and are effective ...
CMS Issues Hospital Price Transparency Update
Last week CMS announced enforcement updates related to hospital price transparency and issued a new fact sheet for providers. The hospital price...
OIG Plans New Compliance Guidance and Issues a New Toolkit
On Tuesday, Inspector General Grimm made several important announcements during her presentation at the Healthcare Compliance Association’s Complian...
CMS Releases the 2024 IPPS Proposed Rule
The CMS released the 2024 Proposed Inpatient Prospective Payment Rule yesterday. Some notable changes for the upcoming year include: 2.8% increase i...
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