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Author Archives: PCG Software

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Mar232022

2nd Quarter Update to HCPCs

BlogMarch 23, 2022

The HCPCS coding decisions from the 4th quarter 2021 are included in the April 2022 HCPCS Quarterly Update:https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets/HCPCS-Quarterly-Update

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Mar212022

DHS Examines Medicare Advantage Risk Adjustment Strategies

BlogMarch 21, 2022

The following information appeared on, oig.hhs.gov “So far from what I understand in the evidence and data, it shows that…

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Mar152022

Medicare Fraud Controls Units (MFCU) Fiscal Year 2021 Annual Report

BlogMarch 15, 2022

The following information appeared on, oig.hss.gov In 2021, the state and federal partners in MFCUs convicted 1105 individuals and recovered…

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Mar132022

Physicians: Do Not Submit a Claim for a Specimen

BlogMarch 13, 2022

The following information appeared on, cms.gov This is an interesting reminder that was sent out to Medicare Fee-for-Service providers. Only…

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Mar122022

NCCI 2nd Quarter Updates 2022

BlogMarch 12, 2022

The following information appeared on, cms.gov The NCCI Version 28 for physicians has a small set of additions, deletions, and…

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Mar102022

12 Physicians Sentenced in $250 Million Billing Fraud Scheme

BlogMarch 10, 2022

The following information appeared on, Beckers Hospital Review. Twelve physicians in Michigan and Ohio were among 16 defendants sentenced to…

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