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11/09/2026
Your fraud self-disclosure options have expanded under new cooperative arrangements between HHS and the U.S. Department of Justice (DOJ), including a pilot program under which your False Claims Act (FCA) disclosure could not only lead to reduced penalties but also let you skirt corporate integrity agreements. Make sure you know which arrangement best suits your case.
11/09/2026
The risks associated with AI are not limited to unsupported or excessive coding. AI also can recommend codes that fail to capture documented specificity or relationships between conditions.
11/09/2026
Take note of additional updates in the E/M chapter of the 2027 CPT manual. Review the new guidance for chronic care management (CCM) services and share it with relevant staff before it goes into effect Jan. 1, 2027.
11/09/2026
Question: If our pain management doctors have their imaging read on their behalf by a radiologist (using our imaging equipment) and our doctor performs and documents their own independent interpretation of the imaging, how should we bill for this? 
11/09/2026
Like 2024, 2025 was a year of stasis in use and denial of inpatient-or-observation E/M codes. But providers who are called upon to use them should still watch for changes in billing practices from year to year.

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