by Evan Gwilliam | Apr 17, 2025 | Billing, Revenue Cycle Management
Evaluation and management (E/M) coding changed dramatically in 2021 when the three key components of history, exam, and medical decision making, were replaced/modified. Instead codes were to be selected by either time or medical decision making. The history and the...
by Evan Gwilliam | Apr 10, 2025 | Billing, Revenue Cycle Management
Evaluation and Management (E/M) procedure codes are the most widely used CPT codes in all of healthcare in the United States. There are several categories of codes for different circumstances, from hospital care, to nursing facilities, telemedicine, and even...
by Evan Gwilliam | Nov 10, 2024 | Compliance
The Office of the Inspector General (OIG), which is part of the Department of Health and Human Services (HHS), is an agency that works to prevent fraud, waste, and abuse (FWA) in government programs. It focuses on Medicare and Medicaid, as well as about...
by Evan Gwilliam | Oct 27, 2024 | Compliance
The Office of the Inspector General (OIG), part of the Department of Health and Human Services (HHS), has the authority to seek civil monetary penalties (CMP) for a wide variety of conduct that may be considered abusive or fraudulent. This includes getting paid...
by Evan Gwilliam | Oct 13, 2024 | Compliance
he Office of the Inspector General (OIG), which is part of the Department of Health and Human Services (HHS), was created in 1976 to address ten years of backlogged cases of fraud, waste, and abuse (FWA) related to Medicaid programs. But it didn’t really get...
