The Office of Inspector General (OIG) released new guidance to detail key risk areas relevant to the Medicare Advantage (MA) program and provide recommendations to various parties to mitigate these risks.Read More »
CMS recently provided Method II critical access hospitals (CAH) with updated billing requirements for professional emergency services performed in the emergency department.Read More »
CMS recently relaunched the Program for Evaluating Payment Patterns Electronic Report (PEPPER) for short-term acute care hospitals, restoring these facilities’ access to a valuable data tool that assists with claim accuracy.Read More »
CMS is preparing to launch the Outpatient Prospective Payment System (OPPS) Drug Acquisition Cost Survey to collect acquisition costs for certain outpatient drugs and biologicals.Read More »
Governmental audits are handled differently at every facility, but favorable results are more likely with a strong audit response that meets all ADR requirements.
“It is imperative that organizations determine who the right folks are to engage in the process,” says Diane Weiss,...Read More »
Medicare could have saved over $300 million if bundled payments for opioid use disorder (OUD) treatments more accurately reflected the services provided, according to a recent Office of Inspector General (OIG) audit report.Read More »
