Medicare Compliance & Reimbursement
OIG Continues to Hand Out Steep Penalties for Upcoding and False Claims
Medicare Compliance & Reimbursement
- Medical Review:
Don't Be a Moving Target — Clean Up Your Claims Now
All MACs will now perform Targeted Probe and Educate audits. With assurances to decrease Medicare [...] - Compliance:
Ignore ADRs and Pay the Consequences, CMS Warns
A prompt response is required under the Targeted Probe and Educate program. Before you shuffle [...] - CPT® 2018:
Brace Yourself for 5 Major Coding Changes Effective Jan. 1
Hint: Read the section on observation codes carefully as the language has changed. On Oct. [...] - Clip And Save:
Make These 7 Tips Part of Your Disaster IT Protocols
Hint: Store your back-ups at an offsite location for added protection. This hurricane season has [...] - Non-Physician Practitioners:
Append Modifier SA on NPP Claims Now or Risk Denials, One Private Payer Says
Tip: Not all payers require modifier SA for non-physician practitioners performing an E/M. E/M services [...] - Industry Notes:
Avoid the Aches and Pains of the Flu This Year
It’s no fun getting sick, but it can be even less fun for Medicare providers [...] - Industry Notes:
OIG Continues to Hand Out Steep Penalties for Upcoding and False Claims
Upcoding is a focus area for the HHS Office of Inspector General (OIG), and often [...] - Industry Notes:
Acting HHS Secretary Named After Price Resigns
President Trump named Don Wright, MD, MPH as the interim secretary of the Department of [...]
