News & Analysis

December 18, 2019
Medicare Insider

This week’s Medicare updates include details on repayments to outpatient clinic visits at excepted off-campus provider-based departments, a new ICD-10-CM code for vaping-related disorder, an article on home infusion therapy billing, and more! 

December 11, 2019
Medicare Insider

This week’s Medicare updates include a fact sheet on opioid treatment programs, revisions to skilled nursing facility cost reports, the CY 2020 update to the DMEPOS fee schedule, and more!

December 5, 2019
News & Insights

The American Hospital Association (AHA) and other hospital groups argue that the final rule is unlawful because it exceeds CMS' statutory authority.

December 4, 2019
Medicare Insider

This week’s Medicare updates include the implementation transmittal for the 2020 Medicare Physician Fee Schedule, two Special Edition MLN Matters articles on the implementation of the Patient-Driven Groupings Model, home health billing compliance information, and more!

December 4, 2019
News & Insights

Carolinas Hospital in Florence, South Carolina, received $431,757 in Medicare overpayments for incorrectly billed inpatient and outpatient services, according to an Office of Inspector General (OIG) audit report released November 26. Based on the sample, the OIG estimates the hospital may have received at least $3.4 million in overpayments.

December 1, 2019
Briefings on HIPAA

When voluntary disclosure for overpayments is an option rather than an obligation, the provider may encounter diverse opinions among its decision-makers. Some may express a desire to bring the potential problem to the attention of the government and attempt to resolve the matter quickly without incurring criminal penalties, civil fines, or exclusions.

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