ICD-10-CM October Release
The following information appeared on, CMS.gov The new update to the ICD-10-CM codes is available including the ICD-10-CM Official Guidelines…
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New Waived Tests—CMS MLN Matters Number MM12381
The following information appeared on, CMS.gov With an effective date of 10/01/2021, CMS has approved the following new tests as…
The Biden Administration Delays Implementation of Certain Provisions of the No Surprises Act and Transparency in Coverage Final Rules Applicable to Providers and Insurers
The following information appeared on, Healthcare Law Brief. In a September 3, 2021, Health Care Law Brief authors, Elizabeth (Betsy)…
Sutter Health and Affiliates to Pay $90 Million to Settle False Claims Act Allegations of Mischarging the Medicare Advantage Program
The following information appeared on, Justice.gov Sutter Health, headquartered in Sacramento, contracted to provide health care services to California beneficiaries…
OIG scrutiny demands scouring of CCM records as CMS assesses overpayments
A recent HHS Office of the Inspector General (OIG) audit of selected chronic care management (CCM) claims found many instances…
A Lesson Learned by John Peter Smith (JPS) Hospital
The following information appeared on, Justice.gov When Erma Lee, Compliance Director, for JPS Hospital brought the audit report of improper…