This week’s Medicare updates include the CY 2027 MPFS final rule, revised guidance for critical access hospitals regarding distance and rural evaluations, and more!
An automated coding system's ability to process encounters without intervention does not eliminate the need for human accountability. Instead, it changes where that accountability is exercised.
CMS released the calendar year (CY) 2027 Outpatient Prospective Payment System (OPPS) final rule, outlining updates to Medicare reimbursement rates and policies for hospital outpatient services in the coming year.
The measles outbreak is racing through the United States and quite possibly your own healthcare facility. In 2025, a total of 2,289 measles cases were reported in the United States. As of November 5, 2026, there have been 5,182 cases reported in 2026.
This week’s Medicare updates include the CY 2027 MPFS final rule, revised guidance for critical access hospitals regarding distance and rural evaluations, and more!
HIM leaders face gaps in how protected health information (PHI) is tracked, particularly when new capabilities are introduced outside formal procurement or privacy review processes.
Laboratory services are often overlooked as potential suspects for fraud because they are typically not considered high-cost services. But the sheer volume of laboratory services billed more than compensates for their low cost. These charges represent hundreds of millions in healthcare spending.
This week’s Medicare updates include the 2027 ESRD PPS final rule, a final decision memo regarding coverage of autologous stem cell transplantation, and more!
As coding teams collaborate across regions and contribute to shared quality and artificial intelligence (AI) evaluation initiatives, a common framework for measuring coding quality becomes essential.
