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...
2022 IPPS Final Rule
Last week, CMS issued the 2022 Medicare Hospital Inpatient Prospective Payment System (IPPS) Final Rule. The changes contained within the 2,295 pages ...
PROPOSED CHANGES TO HOSPITAL PRICE TRANSPARENCY RULE
In the 2022 Proposed OPPS rule, CMS proposed increased penalties for non-compliance with the Hospital Price Transparency Final Rule. Backg...
THE 2022 MEDICARE PROPOSED OPPS RULE HAS BEEN RELEASED
CMS released the 2022 Proposed OPPS rule yesterday. The 863 page Proposed Rule contains a number of notable items including: CMS is not el...
OIG Hospital Compliance Audit – High Risk Areas
The OIG recently published a hospital compliance audit report that addressed several high risk areas already identified by the OIG and CMS in prior au...
2022 ICD-10 Coding Update
The 2022 edition of ICD-10 contains over 200 diagnosis coding changes. The CDC has just announced its release of the FY 2022 ICD-10-CM code set ...
OIG Plans to Audit Dermatology E/M Claims
The April update to the OIG Work Plan has been released. The newest update includes dermatology claims for evaluation and management (E/M)...