The Office of Inspector General (OIG) released the latest edition of its semiannual report to Congress, which summarizes the agency’s recent oversight activities, enforcement actions, and monetary impact.Read More »
The Office of Inspector General (OIG) is expected to release reports on several key topics in 2025 and beyond, and revenue integrity professionals can learn more about these upcoming audits in the Work Plan item descriptions. For example, the OIG may detail what organizations will be included in...Read More »
Revenue integrity professionals need to understand how new elements in the healthcare industry, from changing regulations to advances in technology, are affecting hospital reimbursement, compliance, and other key revenue integrity priorities. They need to stay not just current but ahead of the...Read More »
The Office of Inspector General (OIG) highlighted several congressional actions that, if taken, could lead to $17 billion in potential cost savings across HHS programs.Read More »
Gain insights into CMS’ and the Office of Inspector General’s audit targets and learn how to put this knowledge to work at your organization.Read More »
When first learning about modifier -25, revenue integrity professionals were likely given an example of a patient in a physician office being evaluated for a minor health issue who asks to be examined for an unrelated problem at the end of the appointment.