Medicare news

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.

U.S. hospitals and health systems are facing a perfect storm of financial pressures, according to a recent American Hospital Association (AHA) report.

Analyze CMS' recent coverage expansion for hepatitis B vaccines and their administration.

Discover the benefits of keeping tabs on additions to the Office of Inspector General's (OIG) Work Plan.