News & Analysis

January 8, 2020
News & Insights

The Transparency in Coverage Proposed Rule comment period has been extended from January 14 to January 29, CMS announced. The proposed rule would require insurers to provide personalized price estimates and publish negotiated in-network rates and historical payment information.

January 1, 2020
Briefings on HIPAA

With 2020 underway, it’s a good time for facilities to review the standards set forth by the rules that define HIPAA regulations. Without a thorough understanding throughout an organization, it can be easy for violations to occur.

December 18, 2019
Medicare Insider

This week’s Medicare updates include details on repayments to outpatient clinic visits at excepted off-campus provider-based departments, a new ICD-10-CM code for vaping-related disorder, an article on home infusion therapy billing, and more! 

December 11, 2019
Medicare Insider

This week’s Medicare updates include a fact sheet on opioid treatment programs, revisions to skilled nursing facility cost reports, the CY 2020 update to the DMEPOS fee schedule, and more!

December 5, 2019
News & Insights

The American Hospital Association (AHA) and other hospital groups argue that the final rule is unlawful because it exceeds CMS' statutory authority.

December 4, 2019
News & Insights

Carolinas Hospital in Florence, South Carolina, received $431,757 in Medicare overpayments for incorrectly billed inpatient and outpatient services, according to an Office of Inspector General (OIG) audit report released November 26. Based on the sample, the OIG estimates the hospital may have received at least $3.4 million in overpayments.

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