Medicare news

As CMS accelerates its auditing efforts, HIM leaders must prepare for record demands, coder shortages, and complex compliance challenges.

CMS recently issued a final decision memo to formally expand Medicare coverage of transcatheter edge-to-edge repair (T-TEER) for the treatment of tricuspid regurgitation.

The recent appointment of a new Office for Civil Rights (OCR) director could signal a return to assertive legal interpretation and enforcement of HIPAA regulations.

CMS recently published two proposed rules to spell out potential payment updates and policy changes for outpatient and physician services.

Review code additions, deletions, and revisions in the fiscal year (FY) 2026 ICD-10-PCS code set and guidelines.

The Office of Inspector General (OIG) summarized its oversight activities, enforcement actions, and monetary impact between October 2024 and March 2025 in a recent report to Congress.

As the future of certain Hospital Inpatient Quality Reporting Program measures remains unclear, examine CDI's role in capturing social determinants of health (SDOH) data.

Learn how CMS plans to enhance its risk adjustment data validation auditing efforts for Medicare Advantage (MA) plans and recover overpayments.

CMS is seeking feedback on potential policy changes ahead of the third cycle of negotiations under the Medicare Drug Price Negotiation Program.

Dissect comments on the proposed HIPAA Security Rule update and get expert insights on preparation and compliance.