Get to know how these new CMS proposed rules might affect your practice. Fee schedule changes to most evaluation and management (E/M) services have been relatively safe from CMS intervention over the past few years. As for 2019, however, it’s [...]
Hint: Proposal causes one pulmonary practice in our sample to lose $93,000 in one year. Pulmonology practices have been able to rest easy during the past few years’ worth of fee schedule changes, but this year may have thrown a [...]
Don’t expect compliance efforts to lighten up any time soon. If you’d like to see the HHS Office of Inspector General give hospices a break, its latest Semiannual Report to Congress is not good news. In the report, the OIG [...]
Nearly $1.5 billion in recoveries keeps the OIG on task. If you’re waiting for federal fraud-fighting efforts to lighten up, you’ll be waiting a long time. So indicates the latest HHS Office of Inspector General Semiannual Report to Congress. In [...]
Feds hone in on urine tests, PT, and cardiac device recalls. OIG continues to hammer away at those who cheat Medicare. With tighter controls and stiffer punishments on the rise, practices shouldn’t expect federal scrutiny to end anytime soon. Background: [...]
Failing to correctly report value and condition codes led to overpayments of $2.7 million in 2016. Providers: When Medicare issues a reminder, it's time to listen. And that's just what they did in October's issue of MLN Connects, CMS' weekly [...]
FCA, Stark, Anti-Kickback & HIPAA get teeth with new civil monetary penalties. It’s safe to say that avoiding fraudulent claims has always been a best practice, but increases to civil monetary penalties (CMPs) serve to drive that point home. HHS, [...]
Compliance blunders just got more expensive. ICYMI: HHS, CMS, OIG and other health care agencies have dramatically increased civil monetary penalties for violating several major health care laws, including the Stark Law, the Anti-Kickback Statute, the Emergency Medical Treatment and [...]
If you enrolled in Medicare before March 25, 2011, the Affordable Care Act requires you to revalidate your enrollment information. MACs have been sending out revalidation requests for the past few years, and will continue to do so through March [...]
If you still receive Medicare payments via paper, don't expect that to last long. "Existing regulations ... require that at the time of enrollment, enrollment change request or revalidation, providers and suppliers that expect to receive payment from Medicare for [...]
