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12/11/2023
The HHS Office of Inspector General (OIG) is making good on its April 24 announcement that it will modernize its compliance programs. The agency published the General Compliance Program Guidance (GCPG) on Nov. 6, 15 years after the OIG’s last model compliance plan, a supplemental guideline for nursing facilities.
12/11/2023
Some notable recent cases in which providers have been accused of sexual assaults on patients in exam rooms present an occasion to reconsider medical chaperone policies that can help defend against such incidents.
12/11/2023
Medicare finalized coverage of five caregiver training codes, effective Jan. 1, 2024. The decision paves the way for reimbursement when a provider such as a physical therapist, physician or physician assistant trains a patient’s friend or family member to provide behavior management or modification (96202-96203) or to improve a patient’s ability to perform activities of daily living (ADL) (97550-97552) when the patient is not present.
12/11/2023
You may occasionally encounter a patient who, in the provider’s opinion, is intoxicated, either by drugs or alcohol. Given informed consent issues, you may be inclined to refuse treatment -- but be careful that you’re not missing a chance to throw the patient a lifeline.
12/11/2023
Question: I am looking for more specific information on code G0136 (Administration of a standardized, evidence-based Social Determinants of Health [SDOH] Risk Assessment tool, 5-15 minutes, not more often than every 6 months). 
12/11/2023
With a 3.4% conversion factor (CF) cut looming in 2024 and Congress looking less likely by the day to deliver timely relief, providers who routinely bill services from CMS’ “selected codes” chart can at least take comfort that none of the 23 non-facility codes are taking too big a loss.

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