May AI Alert 2024
Payment Integrity Audit: Facility vs. Non-Facility Place of Service Codes Under the Medicare Physician Fee Schedule (MPFS), some procedures have separate rates for physicians’ services when provided in facility and non-facility settings. In general, the...
April AI Alert 2024
Wegovy – Getting to the Heart of the Matter On March 8, 2024, the U.S. Food and Drug Administration (FDA) announced its approval of Wegovy (semaglutide) injections for a new indication in addition to weight loss. Their release states, “to reduce the risk of...
AI Alert March 2024
Taking Medicine To The Street – Reimbursement Now Available For Street Medicine Starting October 1, 2023, providers can report street medicine services using the newly established Place of Service (POS) code 27, as created by CMS. This place of service is...
2023 Forensic AI Alerts Roundup and eBook
This valuable resource is a must-read for healthcare organizations seeking to mitigate fraud, waste, and abuse and maximize cost savings Healthcare executives face the daunting task of finding ways to control and manage the alarming cost increases. When priority...
