This week’s Medicare updates include the extension of a publication date for a final rule on potential civil monetary penalties for failure to meet Medicare secondary payer reporting obligations, additional information on the end of the COVID-19 PHE, an implementation transmittal for additional sections of the Consolidated Appropriations Act and Further Continuing Appropriations and Extensions Act, and more!
This week’s Medicare updates include details on billing for insulin ahead of the new coinsurance cap, updates to the OIG work plan, information on new drug pricing models, and more!
This week's Medicare updates include changes to the manual to add in clarification about payment for vaccines at critical access hospitals, updates to the manual pertaining to billing changes from CY 2020 and CY 2021 final rules, and more!
Clinical validity denials occur when there is a lack of clinical evidence in the patient chart to support a billed diagnosis. Learn more about common reasons for these denials and how to defend against them.