Risk adjustment coding has the been source of several recent large, false claims act settlements and is also the topic of a recent OIG Work
In less than one month, the 2022 edition of ICD-10-CM/PCS will become effective. This edition contains hundreds of ICD-10 code changes that include additions, revisions
The August update to the OIG Work Plan has been released. The most recent update includes auditing of Medicare professional emergency department encounters to determine whether
The OIG recently released a report that found CMS has continued to make overpayments for Chronic Care Management (CCM) services despite prior audit report findings
Last week, CMS issued the 2022 Medicare Hospital Inpatient Prospective Payment System (IPPS) Final Rule. The changes contained within the 2,295 pages of the Final
In the 2022 Proposed OPPS rule, CMS proposed increased penalties for non-compliance with the Hospital Price Transparency Final Rule. Background Through the price transparency rule,
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