News & Analysis

January 28, 2019
News & Insights

Q: How far in advance are we required to provide an Advance Beneficiary Notice of Noncoverage (ABN)? If multiple entities are involved in ordering and providing a noncovered service such as a lab test, does each entity need to issue a separate ABN?

January 23, 2019
Medicare Insider

This week’s Medicare updates include four new additions to the OIG work plan; provider compliance tip sheets on tracheostomy supplies, ventilators, canes, and crutches; a national coverage analysis on acupuncture as a treatment for low back pain; and more! 

January 23, 2019
News & Insights

The Office of Inspector General (OIG) will be taking a closer look at payments for inpatient claims subject to CMS’ post-acute transfer policy, according to a recent update to the OIG work plan.

January 16, 2019
News & Insights

The National Association of Healthcare Revenue Integrity is currently seeking speakers to present at the 2019 Revenue Integrity Symposium (RIS), to be held October 15–16, 2019, at the Renaissance Orlando at SeaWorld in Orlando, Florida.

January 16, 2019
Medicare Insider

This week’s Medicare updates include a transmittal implementing quarterly updates to the DMEPOS competitive bidding program files, a transmittal implementing 14 newly waived CLIA tests, the quarterly update to the NCCI procedure-to-procedure edits, and more!

January 9, 2019
News & Insights

CMS ramped up risk-sharing for accountable care organizations (ACO) in a final rule published December 31, 2018. The final rule makes changes to the Medicare Shared Savings Program and will reduce the amount of time ACOs can stay in one-sided risk models.

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