As compliance professionals, the concept of an “unlikely” physician day is not a new risk area. Conducting data analysis of time-based services to identify instances
The OIG issued their August Work Plan. The update includes plans to evaluate whether Medicare paid physicians for hyaluronic acid knee injections in accordance with
CMS recently posted the 2025 ICD-10-CM files that contain code additions, revisions and deletions to the code set. The implementation date of October 1, 2024
CMS has released the 2025 Proposed Medicare Physician Fee Schedule. The proposal contains many significant coding and coverage provisions including: 2.93% payment decrease Permanent coverage
CMS released the 2025 OPPS and ASC Proposed Rule this morning. The 984 page document contains a number of important proposals including: 2.6% payment increase
The OIG conducted an audit to evaluate the effectiveness of Medicare program safeguards to ensure appropriate reimbursement of short stay inpatient admissions. In general, inpatient
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