The 2020 Comprehensive Error Rate Testing (CERT) report was published last week. The report details information regarding fee-for-service (FFS) paym...
OIG Releases Semi Annual Report to Congress
The OIG has issued their Semi Annual Report to Congress for the period, April 1 through September 30, 2020. The Fall 2020 Semi Annual Report...
CMS Releases the 2021 OPPS Final Rule
The 2021 Medicare Final Outpatient Prospective Payment System (OPPS) rule was released yesterday. The provisions contained within the final rule...
2021 E/M Changes Webinar
We invite you to join us November 3rd at 1pm Eastern for our free webinar. Our Principal, Amy Bailey, will be discussing the new outpatient/offi...
CMS Issues New Telehealth Expansion
Last week, CMS added 11 new services to the approved telehealth benefit category for services rendered during the public health emergency. The u...
2021 ICD-10 Effective October 1
The 2021 edition of ICD-10 contains over 500 diagnosis coding changes. The updates will become effective in just 9 days, on October 1st, 2020.&n...
OIG Workplan Update- COVID-19 Audits
In their most recent Work Plan update, the OIG has announced they will be auditing Medicare payments for inpatient discharges billed by hospitals for ...
CMS To Require Proof of Positive COVID-19 Test To Get 20% MS-DRG Bonus
In an Aug. 17 MLN Matters article, CMS stated that starting September 1, hospitals will lose the 20% Medicare bonus for treating inpatients ...
CMS has Delayed Implementation of Appropriate Use Criteria
Last week, CMS announced the Appropriate Use Criteria (AUC) testing period would be extended through calendar year 2021. CMS stated that there will be...
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