GI procedures, particularly colonoscopies, present unique coding challenges.
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Mastering the HCPCS G2211 Add-On Code: Guidelines and Insights
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...
An Interview with Healthicity's First Compliance Officer of the Year
At Healthicity, we believe in recognizing the exceptional contributions of compliance professionals who go above and beyond to ensure that their organizations uphold the highest standards of integrity and ethics. This year, we are thrilled to feature our first-ever Compliance Officer of the Year...
May 2024 OIG Work Plan Updates: Key Audits and Reviews
How to Engage Executive Leadership with Your Compliance Program
Deeper Than The Headlines: Allegations Related to Unnecessary Procedures on Dialysis Patients
Essential Reading: Understanding CMS’s TPE Program
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...