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Author Archives: PCG Software

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Sep32021

The Biden Administration Delays Implementation of Certain Provisions of the No Surprises Act and Transparency in Coverage Final Rules Applicable to Providers and Insurers

BlogSeptember 3, 2021

The following information appeared on, Healthcare Law Brief. In a September 3, 2021, Health Care Law Brief authors, Elizabeth (Betsy)…

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Aug302021

Sutter Health and Affiliates to Pay $90 Million to Settle False Claims Act Allegations of Mischarging the Medicare Advantage Program

BlogAugust 30, 2021

The following information appeared on, Justice.gov Sutter Health, headquartered in Sacramento, contracted to provide health care services to California beneficiaries…

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Aug302021

OIG scrutiny demands scouring of CCM records as CMS assesses overpayments

NewsAugust 30, 2021

A recent HHS Office of the Inspector General (OIG) audit of selected chronic care management (CCM) claims found many instances…

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Aug272021

A Lesson Learned by John Peter Smith (JPS) Hospital

BlogAugust 27, 2021

The following information appeared on, Justice.gov When Erma Lee, Compliance Director, for JPS Hospital brought the audit report of improper…

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Aug242021

CMS Expands Medicare Payments for At-Home COVID-19 Vaccinations

BlogAugust 24, 2021

The following information appeared on, CMS.gov In an August CMS release, Medicare benefi-ciaries who have difficulty leaving their homes or…

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Aug202021

Multiple Procedure Anesthesia Reductions

BlogAugust 20, 2021

The following information appeared on, Noridian Medicare. Noridian has a very helpful Anesthesia and Pain Management guide that was released…

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