News & Analysis

July 17, 2019
News & Insights

CMS is extending its enforcement discretion period for its laboratory date of service (DOS) exception policy to January 2020.

July 15, 2019
News & Insights

Q: What are the pros and cons of conducting a 100% retrospective charge segregation review for clinical trial claims?

July 10, 2019
Medicare Insider

This week’s Medicare updates include a decision memo for an ambulatory blood pressure monitoring NCD, another extension of enforcement discretion for the laboratory date of service exception policy, a fact sheet on proper billing processes for DMEPOS items delivered to inpatients, and more!

July 10, 2019
News & Insights

Accountable care organizations (ACO) avoid downside risk contracts even though the number of ACO contracts and ACOs with multiple contracts have grown, according to a recent study. The study authors suggest that stronger incentives to take on downside risk are necessary to ensure the success of the ACO model.

July 8, 2019
News & Insights

Q: What are Medicare's criteria for reopening a claim as opposed to treating it as a denial?

July 3, 2019
Medicare Insider

This week’s Medicare updates include a policy clarification regarding negative wound therapy, an executive order on price transparency, and more! 

Pages