CJ Wolf
One of the new CPT® codes in 2024 is the add-on code +99459, Pelvic Examination.
CJ Wolf
The U.S. Health and Human Services Office of Inspector General (HHS OIG) has written, “For a compliance program to be effective, the organization should establish appropriate consequences for instances of noncompliance, as well as incentives for compliance.”1
CJ Wolf
The HCPCS code G2211 is an add-on code to certain Evaluation and Management codes. Much of the medical coding industry has been talking about this code because as of Jan. 1, 2024, Medicare began paying separately for it – but many coders and auditors are still curious about when it can be reported...
CJ Wolf
New updates to OIG’s Work Plan over the last month span a wide range of subjects and areas of focus – let's take a look at some key additions.
CJ Wolf
Ah, the age-old question: who is responsible for compliance?
CJ Wolf
CJ Wolf
The Centers for Medicare & Medicaid Services’ Targeted Probe and Educate (TPE) program is one of the processes that Medicare administrative contractors (MACs) can use when providers are selected by medical review. CMS claims this review process is designed to help providers reduce claim denials and...
CJ Wolf
The OIG added several new items to its work plan in April 2024, let’s review three key updates.
