Both the House and Senate have passed legislation to prevent significant Medicare payment cuts from taking effect on January 1. President Biden ...
OIG Semiannual Report to Congress
The OIG has issued their Semiannual Report to Congress for the period April 1, 2021 through September 30, 2021. The report highlights nearly...
CMS Finalizes Major Changes for Split/Shared and Critical Care
The 2022 CMS Final Medicare Physician Fee Schedule (MPFS) contains substantial changes to the split/shared and critical care rules. These changes impa...
2022 Final Medicare Physician Fee Schedule
CMS has released the 2022 Final Physician Fee Schedule. The release contains many notable provisions which will become effective on January 1, 2022 as...
It is Time to Prepare for 2022 CPT
The implementation deadline for the newest version of CPT is January 1, 2022. With just over 2 months to prepare, the time to plan and take acti...
Increased Enforcement for Risk Adjustment Coding
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 Plan Audit...
2022 ICD-10-CM/PCS CHANGES RAPIDLY APPROACHING
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 incl...
Physician Emergency Department Encounters to be Audited
The August update to the OIG Work Plan has been released. The most recent update includes auditing of Medicare professional emergency depar...
OIG Report on CCM Overpayments
The OIG recently released a report that found CMS has continued to make overpayments for Chronic Care Management (CCM) services despite prior audit re...
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