PYA, a national professional services firm with specialized expertise in healthcare consulting and public accounting, has released an updated white paper, “Providing and Billing Medicare for Chronic Care Management Services.” The white paper includes changes from the 2020 Medicare Physician Fee Schedule Final Rule (Final Rule).
It’s not uncommon for health systems to have an annual budgeting cycle that requires six months of work and thousands of hours from leadership. It’s a monumental undertaking — and yet the budget is often outdated in a matter of months. What that means is that, even with a strong flex budget, healthcare executives are constantly tasked with explaining why performance isn’t tracking to budget.
The Office of Inspector General (OIG) has published the latest additions to its Work Plan. The following is PYA’s insight on Medicare payments for Stelara. Readers should evaluate this and the additional OIG updates and determine how those additions can be incorporated into their organization’s compliance program to help inform their risk assessment, compliance, and/or internal audit work plan.