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The Office of the Inspector General (OIG) and other federal agencies have emphasized the importance of voluntarily developed and implemented compliance plans. The OIG has supplied guidance as to the elements of a model compliance plan.
The January Integrated Outpatient Code Editor (IOCE) expands editing related to manifestation diagnosis codes. Read this article to find out more about the editing.
View recordings of past in-house webinars regarding specialty services, such as SNF billing guidance, covered dermatology services, understanding psychotherapy, and more.
View these recordings of past in-house webinars, including topics such as understanding LCDs, LCD additions and revisions, the CERT program, and more.
Physicians who certify patient eligibility for hospice services must enroll in Medicare or opt out effective for claims submitted on October 7, 2024 and after with dates of service June 3, 2024 or later.
Learn more about billing Medicare for prolonged home or residence E/M services that exceed the maximum time by at least 15 minutes on the date of service.
These tables display processing issues that are being worked currently or have been resolved recently.
Specific guidelines apply to proper application of therapy modifiers to indicate therapy discipline of plan of care.
When a patient enrolls in or disenrolls from a Medicare Advantage plan during his/her inpatient stay, the following factors will determine whether to bill the Medicare Advantage plan and/or original Medicare.