CMS determined the improper payment rate for immunosuppressive drugs was 15.7% in 2023, with a projected improper payment amount of $43.2 million. Organizations should review CMS' guidance on proper billing codes, coverage criteria, common denial reasons, and documentation requirements.
This week’s Medicare updates include a favorable OIG Advisory Opinion, a new CMS framework for improving healthcare delivery and care experience, and more!
This week’s Medicare updates include a final rule on the Increasing Organ Transplant Access model, the 2026 Medicare Advantage and Part D proposed rule, and more!
Ransomware threats in healthcare are growing. For instance, just look at three settlements from the Office for Civil Rights (OCR) occurring this past October. These enforcements mark the OCR's fifth, sixth, and seventh actions related to ransomware, and underscore the vital importance of proper cybersecurity safeguards.
