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evaluation and management

CMS Proposes to Simplify Coding and Documentation Requirements for E/M Services but with a Catch


Posted on September 28, 2018 in Health Law News

Published by: Hall Render

On July 12, 2018, the Centers for Medicare & Medicaid Services (“CMS”) released its proposed rule for the Calendar Year (“CY”) 2019 Medicare Physician Fee Schedule (“Proposed Rule”). Among many other changes, CMS proposed numerous modifications to the required documentation for evaluation and management (“E/M”) visits in order to alleviate the administrative burden on practitioners and... READ MORE

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N.D. Ill.: Upcoding Allegations Against Hospitalist Group Survive Motion to Dismiss


Posted on February 24, 2015 in False Claims Act Defense

Written by: David B. Honig and Andrew B. Howk

A recent case out of the Northern District of Illinois Federal Court, US ex rel. Oughatiyan v. IPC the Hospitalist Company, Inc., demonstrates the high risk inherent in evaluation and management (E&M) coding for health care providers. READ MORE

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