News & Analysis

February 19, 2025
Medicare Insider

This week’s Medicare updates include a comment request regarding the prohibition on expanding facility capacity for hospitals with physician ownership and a modified OIG advisory opinion.

February 12, 2025
Medicare Insider

This week’s Medicare update is an OIG report on improper Medicare payments for intermittent urinary catheters.

February 5, 2025
HIM Briefings

Review strategies, workflow adjustments, and proactive measures by HIM professionals to combat denials.

January 22, 2025
Medicare Insider

This week’s Medicare updates include resources and flexibilities available to those affected by the California wildfires, a telehealth waiver extension, and more!

January 8, 2025
Medicare Insider

This week’s Medicare updates include new COVID-19 vaccine payment rates, several public health emergency extensions, and more!

January 8, 2025
News & Insights

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.

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