Medicare Compliance & Reimbursement

Industry Notes:

Feds Look at Hospitals’ PRF Payments Over Balance Billing Concerns

Hospitals that received CARES Act Provider Relief Fund (PRF) payments were required to follow certain billing rules for COVID-19 patients as part of their funding agreements — but some didn’t and now the feds are looking into that. Lowdown: The HHS Office of Inspector General’s (OIG) new Work Plan item, W-00-22-35878, focuses on the intersection of hospitals’ compliance with the [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.