Dec 4th, 2019
While there has been more than a $5.3 billion decrease in estimated improper payments for home health services over the past three years, the projected improper payment amount for home health services during the 2018 report period was $3.2 billion. This translates to a Medicare Fee-For-Service (FFS) improper payment rate of 17.6 percent, accounting for ...
In Billing
Nov 15th, 2019
Beginning Jan. 1, 2021, all U.S. hospitals will be required to disclose standard charges for items and services offered to patients. Although many hospitals do this already, the Centers for Medicare & Medicaid Services (CMS) finalized Nov. 15 polices that will require hospitals to be more accountable of the prices they charge and more forthcoming ...
In Billing
Oct 18th, 2019
The government is keeping a close eye on how you are coding claims. Are you? The Office of Inspector General (OIG) is updating its Work Plan this month with new watch items that pertain to Medicare. At press time, there were five additional items the OIG intends to pursue in 2020. OIG Work Plan items ...
In CMS
Sep 19th, 2019
Proactive rule seeks to curb fraud and abuse against vitally important federal health care programs. The Centers for Medicare & Medicaid Services (CMS) issued a final rule earlier this month that strengthens their ability to stop fraud before it happens by keeping unscrupulous providers out of our federal health insurance programs. This first-of-its-kind action changes ...
In Coding
Sep 10th, 2019
USPSTF drafts new HCV screening recommendations. New recommendations aim to curb the growing number of individuals infected with the hepatitis C virus (HCV). To address this public health dilemma, the U.S. Preventive Services Task Force (USPSTF) issued a draft recommendation statement on screening for HCV infection in adolescents and adults and now suggests that all ...