Auditing and monitoring

This week’s Medicare updates include an NCCI edit revision for COVID-19 vaccine administration claims, several additions to the OIG Work Plan, and more!

This week’s Medicare updates include an OIG report on Medicare payments for OUD treatment services and a data brief on behavioral health providers listed within Medicare Advantage networks.

This week’s Medicare updates include the October 2025 I/OCE update files, clarification on speech-language pathologist qualifications for Part B services, and more!

This week’s Medicare updates include new prior authorization statistics for FY 2024, revised guidance on evaluation and management services, and more!

This week’s Medicare updates include the COVID-19 vaccine payment allowances for the 2025-2026 season, an OIG report on Part B expenditures for skin substitutes, and more!

This week’s Medicare updates include the 2025 fourth quarter NCCI edit files, provider education instructions concerning prior authorization for certain ASC services, and more!  

This week’s Medicare updates include a revised fact sheet on Part D opioid policies, an OIG report on billing for remote patient monitoring, and more!

This week’s Medicare updates include the October 2025 HCPCS update file, coverage guidelines for respiratory assistance devices and home mechanical ventilators, and more!

This week’s Medicare updates include the quarterly NCD coding revisions, revised guidance on evaluation and management services, and more!

This week’s Medicare updates include the influenza vaccine payment allowances for the 2025-2026 season, 25 expired memorandums related to COVID-19 PHE expiration policies, and more!