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New Requirements for Hospital Price Transparency in 2024

WEBHospitals must: Requirement. Effective Date for Compliance. Make a good faith effort to ensure the MRF data is true, accurate and complete. January 1, 2024. …

Actived: 6 days ago

URL: https://www.hbeadvisors.com/2023/11/13/new-requirements-for-hospital-price-transparency-in-2024/

Healthcare Compliance in 2023

WEBHealthcare Compliance in 2023. October 24, 2022. Having an effective corporate compliance program is more important than ever. The HBE Advisors team has …

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2023 E/M Changes are Here

WEB2023 E/M Changes are Here. July 1, 2022. AMA has issued an early release of the 2023 E/M changes. The AMA had previously indicated they would be revising a …

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2022 Compliance Trends

WEB3597 E Monarch Sky Lane Suite F240 Meridian, ID 83646 (208) 319-0074; [email protected]

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The 2023 CPT and ICD-10 Changes are Here

WEBThe deadlines to implement the 2023 ICD-10 and CPT changes are fast approaching. The implementation date for 2023 ICD-10 is October 1, 2022. The 2023 …

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The OIG Issues New Compliance Guidance

WEBOffice of Inspector General (OIG) released their new General Compliance Program Guidance (GCPG) today and it is a must-read for all healthcare compliance …

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Physician Emergency Department Encounters to be Audited

WEBThe August update to the OIG Work Plan has been released. The most recent update includes auditing of Medicare professional emergency department …

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2023 Final Medicare Physician Fee Schedule

WEBCMS has released the 2023 Final Medicare Physician Schedule. The rule formally adopts many major changes for the upcoming year including: Decrease in the …

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Significant Clarifications for Outpatient E/M

WEBThis clarification was made in the AMA Errata released on March 9 th for Evaluation and Management Guidelines for office/outpatient services (99202-99215) …

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Updates to the OIG Work Plan

WEBApril 21, 2020. There are several notable additions to the OIG Work Plan which include: Medicare Part B Payments for Co-surgery Procedures – The focus will be on auditing …

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OIG to Audit Physician Reporting of Place of Service

WEBJune 17, 2021. The OIG has released the June update to their Work Plan. The most recent update includes evaluation of physician reporting of place of service (POS). Specifically, …

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OIG Report on CCM Overpayments

WEBThe OIG recently released a report that found CMS has continued to make overpayments for Chronic Care Management (CCM) services despite prior audit report …

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OIG Highlights Hospital Coding & Billing Risk Areas

WEBWith the slowing of COVID-19 cases in many parts of the country, CMS and the OIG are getting back to auditing high risk areas of regulatory compliance. The OIG is …

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CMS Makes Major Change to Split/Shared Rule for 2024

WEBThe 2024 Medicare Physician Fee Schedule Final Rule was released today. In a shocking turn of events, CMS announced in the Final Rule they will be adopting the …

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AMA Plans Another E/M Overhaul in 2023

WEBThe new coding changes are scheduled to be implemented January 1, 2023. Significant E/M code changes for the following service types include: …

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OIG Hospital Compliance Audit – High Risk Areas

WEB3597 E Monarch Sky Lane Suite F240 Meridian, ID 83646 (208) 319-0074; [email protected]

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CMS Releases List of Mandatory Shoppable Services

WEB3597 E Monarch Sky Lane Suite F240 Meridian, ID 83646 (208) 319-0074; [email protected]

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Documentation, Coding and Compliance Risks in 2019

WEBThe OIG routinely publishes criminal and civil enforcement actions. There have been a substantial number of published cases so far this year related to …

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