News & Analysis

November 1, 2017
Briefings on APCs

In July, Utah pain doctor Jahan Imani, MD, and Intermountain Medical Management, P.C., entered into a nearly $400,000 settlement with the OIG to resolve allegations that Imani’s practice submitted false or fraudulent claims due to improper modifier use for payment by improperly using modifier -59 with HCPCS code G0431.

November 1, 2017
Briefings on APCs

Section 216(a) of the Protecting Access to Medicare Act of 2014 (PAMA) added a requirement that will dramatically revise the Medicare Clinical Laboratory Fee Schedule (CLFS) effective January 1, 2018.

November 1, 2017
Briefings on APCs

Patient care continues to move from the inpatient setting to outpatient. With this change, the challenge of securing comprehensive documentation that articulates the services rendered and the patient care provided now needs to extend across the care continuum. 

October 19, 2017
Medicare Insider

This week’s note reviews standards and methods for tracking functionality of implantable medical devices.

October 12, 2017
Medicare Insider

This week's note reviews changes to the Medicare Clinical Laboratory Fee Schedule effective January 1, 2018. 

October 4, 2017
Medicare Insider

This week’s Medicare updates include clarification on portable x-ray necessity, recommendations from the hospital outpatient payment advisory panel, an adjustment to the amount in controversy threshold amounts for 2018, and more!

Pages