Medicare Compliance & Reimbursement
OIG Offers New Gadgets for Compliance Inquiry
Accessing federal guidance, researching advice, and investigating the nitty gritty of healthcare compliance can be daunting. Keeping in step with other federal changes that aim to make information gathering easier and more secure, the HHS Office of Inspector General (OIG) has updated its online resources to assist providers seeking answers. The new Compliance Resource Portal opens with a single page that "links to handy resources for the public that can help ensure that you are in compliance with Federal health care laws," indicates OIG. The eight links are broken down into things like tools and training, specific provider resources, regulation breakdowns, and more. You can find the OIG's Compliance Resource Portal at https://oig.hhs.gov/compliance/compliance-resource-portal/.
Medicare Compliance & Reimbursement
- E/M Coding:
Incorrect Codes, Poor Notes, and Setting Debacles Add to E/M Fails
CMS sees uptick in E/M claims problems. Evaluation and management (E/M) services are the bread [...] - Reimbursement:
Manage MSP Issues with Stronger Claims' Policies
Tip: Accurate patient information helps determine primary payer. Don't assume your patient's care falls entirely [...] - Determine Medicare or Private Payer with This Handy Chart
Tip: Check for dual-eligibility. There are a plethora of patient circumstances that impact whether Medicare [...] - Telehealth:
Know These Bipartisan Budget Act Changes Impacting Telehealth
The feds continue to promote telemedicine by lessening restrictions. With new codes outlined last fall [...] - Reader Question:
Anthem Opts Not to Change Modifier 25 Policy
Question: Last year, we heard Anthem would start cutting its modifier 25 payment by 50 [...] - Industry Note:
OIG Offers New Gadgets for Compliance Inquiry
Accessing federal guidance, researching advice, and investigating the nitty gritty of healthcare compliance can be [...] - Industry Note:
CMS Market Saturation Tool Helps Determine Provider Density
If your town is overrun by specialists in your field, you may find the latest [...] - Industry Note:
Check Your 2018 MIPS Status with New Tool
Are you confused about whether or not you should be sending quality data to CMS [...] - Industry Note:
Food for Thought: Meal Planning Reduces Hospital Readmissions, Research Suggests
If you want to cut down on hospital readmissions, meal planning might be the ticket, [...] - Industry Note:
OIG Adds Statistical Sampling To Work Plan
If you thought claims reviews were getting tougher, you were right. Medicare auditors with the [...]
