News & Analysis

April 10, 2019
News & Insights

Representatives from CMS and the Office of Inspector General (OIG) discussed hot topics and focus areas at HCCA's 2019 Compliance Institute in Boston, including developing interactive documentation checklists, potential changes to Stark Law this year, and methods to address the high rate of coding and documentation errors on inpatient rehabilitiation facility (IRF) claims.

April 10, 2019
Medicare Insider

This week’s Medicare updates include the Medicare Advantage and Part D rate announcement and final call letter, a fact sheet on the Preclusion List, updates to provider self-disclosure settlements, and more! 

April 8, 2019
News & Insights

Q: How do Medically Unlikely Edits (MUE) apply to clinical trials claims?

April 3, 2019
Medicare Insider

This week’s Medicare updates include a proposed decision memo for transcatheter aortic valve replacements, clarification on a transmittal regarding evaluation and management coding, an article on edits for OPPS providers with multiple service locations, and more!

April 3, 2019
News & Insights

The Government Accountability Office (GAO) recommended that CMS assess and strengthen documentation requirements and medical reviews to more effectively prevent improper payments.

April 1, 2019
Briefings on APCs

Providers will find significant leeway in how they can approach and report advance care planning services for physicians given CMS’ open-ended coding requirements, which should push the already strong growth of the codes to new heights.

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