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Four years after the proposed rule was issued, CMS has issued the final 60-day overpayment rule, formally called Reporting and Returning of Overpayments. It reduces the look-back period within which the agency can act on determinations that providers have received too much in Medicare funds but sets rigorous standards for determining what an overpayment is – including “over-coded” E/M claims.

The 950,000 individual health records in its care may only be mislaid, but this health care company didn't wait to launch its breach program.

Practice management expert Lisa Maciejewski-West looks at the recently released 2016 OIG Work Plan and deduces that the Office of Inspector General (OIG) seems to have beaten back the big fraudsters -- and may be coming after you next.

It may not be a good idea to have your non-physician practitioners (NPPs) do scribe work. But maybe, in certain circumstances, they should have a scribe.  

A North Carolina medical billing manager appears to have been caught up in a Medicaid fraud ring and faces 10 years in prison.

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