News & Analysis

December 19, 2018
Medicare Insider

This week’s Medicare updates include a thorough list of alternative payment models that CMS currently operates, the 2019 update to clinical lab fee schedule, a revision to a transmittal regarding medical review of diagnostic lab tests, and more!  

December 12, 2018
Medicare Insider

This week’s Medicare updates include an FAQ on the new price transparency rule for 2019, an update to the Medicare Benefit Policy Manual to include new payment policies for rural health clinics, a fact sheet on the Value-Based Purchasing Program for FY 2019, and more! 

December 12, 2018
News & Insights

A proposed rule that would expand the use of prior authorization and step therapy for Part D and Medicare Advantage beneficiaries has earned criticism from patient advocacy groups and praise from pharmacy groups.

December 5, 2018
Medicare Insider

This week’s Medicare updates include a proposed rule regarding changes to the Medicare Advantage program regulations and Prescription Drug Benefit program, a review of hospital wage data to determine vulnerabilities in the hospital wage index system, the Fall 2018 semiannual report to Congress, and more!

December 5, 2018
News & Insights

On December 4, CMS released additional FAQs regarding the 2019 IPPS final rule requirement that hospitals post a list of their standard charges on the internet.

November 28, 2018
HIM Briefings

Use coding guidelines to optimize coder accuracy and productivity and increase the department’s key contribution to cancer research data.

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