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
Medicare Insider

This week’s Medicare updates include the quarterly listing of program issuances, a fact sheet on the federal health exchange’s 2018 open enrollment period, revised instructions for certificate of medical necessity and durable medical equipment information forms, and more! 

October 31, 2017
Medicare Web

CMS released a proposed rule October 27 that could add flexibility for states with regard to provisions of the Affordable Care Act.

October 30, 2017
Medicare Web

Under what circumstances could two services be considered mutually exclusive?

October 30, 2017
Briefings on HIPAA

This month's Q&A answers readers' questions about disclosing PHI and encryption.

October 30, 2017
Briefings on HIPAA

Tips from this month’s issue.

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