News & Analysis

May 22, 2019
News & Insights

The National Association of Healthcare Revenue Integrity (NAHRI) is pleased to announce Revenue Integrity Week, a national week of recognition for revenue integrity professionals, to be held June 3–7. This year’s theme is Scale New Heights: Elevate Your Profession and Career.

May 22, 2019
News & Insights

CMS modified its proposal to expand prior authorization and step therapy to protected classes of drugs for Part D and Medicare Advantage beneficiaries, according to a final rule released May 16.

May 20, 2019
News & Insights

Q: Does this new policy apply to traditional Medicare only or does it also apply to Medicare Advantage?

May 15, 2019
Medicare Insider

This week’s Medicare updates include a new Home Health Change of Care Notice, a final rule regarding drug pricing transparency, new information on patient relationship categories and codes, and more!

May 13, 2019
News & Insights

Q: What is the deadline for refunding Medicare overpayments?

May 8, 2019
News & Insights

A recent MLN Matters article clarifies language in the Medicare Claims Processing Manual to match current documentation policy for evaluation and management (E/M) services billed by teaching physicians.

Pages