News & Analysis

August 13, 2018
News & Insights

What does it mean for a payer to reimburse a facility through a percent-of-charges method?

August 8, 2018
Medicare Insider

This week’s Medicare updates include final rules for the Inpatient Prospective Payment System, Skilled Nursing Facility Prospective Payment System, Inpatient Rehabilitation Facility Prospective Payment System, and more!

August 8, 2018
News & Insights

Inappropriate use of nonemergency ambulance transport cost Medicare $8.7 million in overpayments, according to a recent Office of Inspector General (OIG) report.

August 6, 2018
News & Insights

How should revenue integrity committee meetings be structured to be most effective?

August 1, 2018
Briefings on APCs

CMS’ 2019 OPPS proposed rule, released in late July, continues the agency’s efforts to enforce site-neutral payments and reduce drug payments by introducing policies to reduce reimbursement for hospital outpatient clinic visits at off-campus, provider-based departments.

August 1, 2018
Briefings on APCs

Along with quality measure removals in the 2018 OPPS and MPFS final rules, CMS has continued to propose additional removals in the 2019 proposed rules. In addition, the agency is proposing to add to its ability to remove quality measures in the future.

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