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CMS has issued waivers to ensure Medicare beneficiaries affected by the storm receive healthcare services. President Trump declared a state of emergency on Sept. 11 for North Carolina, South Carolina, and the Commonwealth of Virginia. That same day, ...
The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) has provided its latest, monthly Work Plan update. The Work Plan “sets forth various projects including OIG audits and evaluations that are underway or planned to...
In the Medicare Physician Fee Schedule (MPFS) proposed rule for 2019 payment policies, the Centers for Medicare & Medicaid Services (CMS) introduces radical changes to the way healthcare practitioners would be reimbursed for evaluation and managem...
Last month, the first generic version of the life-saving EpiPen was approved by the U.S. Food and Drug Administration (FDA). This is celebratory news for those with anaphylactic reaction to insect bites, foods, medications, latex, etc., which occurs ...
The Centers for Medicare & Medicaid Services (CMS) knows there is a lot of administrative overhead when submitting medical claims for payment. To help you navigate through the red tape, CMS has created a “Administrative Simplification Basics Ser...
Medical group shows you how to offset fee-for-service revenue loss by effectively using a pay-for-performance model. The journey toward value in healthcare — increasing your organization’s ability to take on risk by elevating quality of care and reduc...
Diagnosis code choice relies on a thorough understanding of the four classifications of abnormal cell growth severity. The good news about cancer coding is that it is generally straightforward. If you can familiarize yourself with a few key pathology ...
Understanding this devastating disease is key to accurate ICD-10-CM code selection. Ovarian cancer ranks fifth in cancer deaths among women in the United States, but is the deadliest of the gynecologic cancers, with a five-year survival rate of 46.5 ...
  • By Guest Contributor
  • In Compliance
  • Sep 11th, 2018
  • Comments Off on OIG Work Plan: July 2018 Need-to-know Updates
Make time to compare your compliance efforts with OIG’s monthly work plan updates. It has been a year since the Office of Inspector General (OIG) changed its Work Plan format and began issuing monthly updates. The monthly breakdown provides updates an...
Scrubbing is the best way to ensure your claims are clean of unbundling overpayments. A hospital finance department should not treat National Correct Coding Initiative (NCCI) edits as irrelevant to inpatient billing simply because payers don’t use t...