The Office of Inspector General (OIG) recently announced it will audit CMS’ monitoring and enforcement of the Hospital Price Transparency final rule. The report is expected for release in 2023.Read More »
Q: We are a critical access hospital (CAH). We provide smoking cessation therapy (CPT codes 99406-99407) in our cardiac rehab department. The documentation is done and signed by a respiratory therapist (RT), and we are currently billing this as a professional charge (on a UB-04 with revenue code...Read More »
A federal judge ruled in favor of the American Hospital Association (AHA) and other industry plaintiffs on September 28, ordering HHS to stop its reimbursement cuts to the 340B Drug Pricing Program for the remainder of the year.Read More »
The Office of Inspector General (OIG) recently released an audit report on Medicare integrity risks related to billing for telehealth services during the first year of the COVID-19 pandemic. Although the OIG identified only a small portion of high-risk providers, it acknowledged the need for...Read More »
Revenue integrity professionals gathered in Phoenix, Arizona, for the long-awaited return of the Revenue Integrity Symposium (RIS), held September 19-20. The event featured two tracks of education on the latest revenue integrity trends and challenges, CMS updates, and thought leadership.Read More »
The American Medical Association (AMA) released eight Current Procedural Terminology (CPT®) codes for Moderna and Pfizer-BioNTech’s updated COVID-19 vaccine booster doses. These boosters are adapted for the BA.4 and BA.5 omicron subvariants.Read More »
This year’s Revenue Integrity Symposium (RIS) will be held September 19–20 at the Hilton Phoenix Resort at the Peak in Phoenix, Arizona. The resort is conveniently located near downtown Phoenix and features onsite activities and amenities, offering RIS attendees a range of options for filling...Read More »
