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Author Archives: PCG Software

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Sep232021

Annual Revision to the NCCI Manual

BlogSeptember 23, 2021

The following information appeared on, Medicaid.gov If you are providing services to Medicaid pro-gram members, please remember to review the…

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Sep232021

Unbundling is undoing; DOJ orders $3 million fee on bad 25, 59, XU claims

NewsSeptember 23, 2021

A $3 million settlement of False Claims Act charges stemming from inappropriate use of the modifiers 25 (Significant, separately identifiable…

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Sep182021

National Health Care Fraud Enforcement Action Results in Charges Involving Over $1.4 Billion in Alleged Losses

BlogSeptember 18, 2021

The following information appeared on, Justice.gov The Department of Justice on Friday announced criminal charges against 42 doctors and nurses…

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Sep152021

Update to Hospice Payment Rates, Hospice CAP, Hospice Wage Index and Hospice Pricer For FY 2022

BlogSeptember 15, 2021

The following information appeared on, CMS.gov CMS MLN Matters Number: MM12354 The law governing payment for hospice care requires annual…

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Sep152021

ICD-10-CM October Release

BlogSeptember 15, 2021

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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Sep52021

New Waived Tests—CMS MLN Matters Number MM12381

BlogSeptember 5, 2021

The following information appeared on, CMS.gov With an effective date of 10/01/2021, CMS has approved the following new tests as…

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