E/M Coding Alert - 2020 Issue 2
Physician Notes: Feds Plan to Ramp Up Payment Scrutiny
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Article Overview
This article covers two CMS-related developments: a program integrity initiative aimed at preventing improper Medicare payments and fraud, and a Blue Button 2.0 API issue involving potential exposure of beneficiary data. It is relevant for readers tracking Medicare compliance, provider enrollment oversight, administrative burden changes, and CMS health IT/security updates. The piece provides a high-level summary of CMS priorities and a separate notice about a corrected technical bug in a beneficiary data system.
Why This Topic Matters
It highlights current CMS enforcement and program integrity priorities while also flagging a beneficiary data security incident that may affect organizations using CMS APIs or monitoring Medicare privacy and technology updates.
What You Will Learn
- How CMS is approaching Medicare program integrity and improper payment reduction at a high level
- What broad areas are included in CMS’s payment-scrutiny and anti-fraud initiative
- How a Blue Button 2.0 technical issue was identified and addressed
- Why CMS data-security and provider-compliance updates matter to healthcare stakeholders
Who Should Read This
- Physicians
- Hospital and health system compliance teams
- Medical coders and billing professionals
- Healthcare administrators
- Health IT and privacy/security teams
- Medicare providers and suppliers
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