Updates

Advance Care Planning

New OIG Audit Findings

The OIG has released two new reports detailing high payment error rates for Advanced Care Planning and Assistant at Surgery and Co-Surgeon Services. ACPACP services have previously been identified as having high billing error rates.  The most recent OIG audit estimates Medicare paid $42.3 million for ACP services that did not comply

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Uncategorized

Happy Thanksgiving

We are grateful for our amazing clients and appreciate your continued support.  We wish you a wonderful Thanksgiving holiday and time spent with family and friends.  From all of us at HBE, Happy Thanksgiving. 

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Audit

OIG Work Plan Update

In their most recent Work Plan update, the OIG announced they will conduct a nationwide audit of inpatient rehabilitation facilities (IRFs) and reviews of Medicare payments for trauma claims.  IRFPrior audits of IRF services by both the OIG and CMS have resulted in high error rates.  The OIG indicated the

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2023 CPT

2023 Final Medicare Physician Fee Schedule

CMS has released the 2023 Final Medicare Physician Schedule.  The rule formally adopts many major changes for the upcoming year including: Decrease in the conversion factor to $33.06 Adoption of the 2023 E/M changes for emergency department, hospital inpatient/observation, nursing and residential facilities, with certain exceptions: CMS is creating new

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Compliance

Healthcare Compliance in 2023

Having an effective corporate compliance program is more important than ever.  The HBE Advisors team has prepared a summary of the most recent guidance from the Department of Justice.  We also provided our predictions for biggest compliance risk areas in 2023.  This information will be valuable for compliance professionals as

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Coding

HBE Split Shared and Incident to Webinar

TODAY IS THE LAST DAY TO REGISTER! In 2022, the CMS issued new requirements for the documentation and billing for services involving both a non-physician practitioner (NPP) and a physician.  Providers were allowed a 1-year grace period to implement certain components of the new split shared rules which will become

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