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Author Archives: PCG Software

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Oct272022

Medicare Advantage Compliance Audit of Specific Diagnosis Codes that Highmark Senior Health Company (H3916) Submitted to CMS

BlogOctober 27, 2022

The following information appeared on oig.hhs.gov “With respect to the six high-risk groups covered by our audit, most of the…

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Oct32022

Anthem Faces Government Lawsuit for Medicare Advantage Fraud

BlogOctober 3, 2022

The following information appeared on reuters.com October 3 (Reuters)- A federal judge ordered Anthem Inc to face a U.S. government…

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Oct12022

ICD-10-CM Update 2022/2023

BlogOctober 1, 2022

PCG has added the new 1,468 new diagnosis codes to the ICD-10-CM code set for fiscal year (FY) 2023 to…

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Sep292022

Benefit Change for Traditional Medicare

BlogSeptember 29, 2022

The following information appeared on cms.gov CMS released a September 29, 2022 MLN with a retro-dated change in the copays…

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Sep272022

Not PCG Software!

BlogSeptember 27, 2022

The following information appeared on justice.gov “The investigation of Public Consulting Group LLC (PCG) was initiated through the filing of…

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Sep232022

Telehealth Fraud—OIG Report Recommendations

BlogSeptember 23, 2022

The following information appeared on oig.hhs.gov As we all are aware of the number of health care fraud prosecutions in…

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