January 8, 2025
News & Insights

CMS determined the improper payment rate for immunosuppressive drugs was 15.7% in 2023, with a projected improper payment amount of $43.2 million. Organizations should review CMS' guidance on proper billing codes, coverage criteria, common denial reasons, and documentation requirements.

January 15, 2025
News & Insights

As CDI efforts continue to expand in the outpatient setting, review strategies to ensure medical necessity is properly documented.

January 22, 2025
News & Insights

Explore the key aspects of clinical indicators to ensure your organization is constructing compliant queries.