Q: What should revenue integrity teams at short-term acute care hospitals keep in mind before analyzing Program for Evaluating Payment Patterns Electronic Report (PEPPER) findings?
The OIG (Office of Inspector General) and Medicare Administrative Contractors (MACs) are heavily scrutinizing telehealth, remote patient monitoring (RPM), remote therapeutic monitoring (RTM), and communication-based services because of rapid Medicare spending growth and fraud concerns. Current...
During this 60-minute webinar, expert speakers Kimberly Hoy, JD, CPC, and Valerie Rinkle, MPH, CHRI, will explain how to navigate compliance with off-campus provider-based department (PBD) regulations, including recent changes to regulatory guidance and requirements, how to navigate deadlines...
A bipartisan group of senators introduced a bill in early August to clarify requirements, increase oversight, and reform the payment and data infrastructure of the 340B Drug Pricing Program.
As documentation requirements grow more complex and payer scrutiny continues to increase, many healthcare organizations are discovering that maintaining documentation integrity requires more than...
In a recent letter, HHS called on the Office of Inspector General (OIG) to examine healthcare organizations’ billing of gender-affirming care provided to minors.
