News & Analysis

August 4, 2020
News & Insights

Facing the unprecedented COVID-19 public health emergency, CMS released the 2021 OPPS proposed rule later than ever before, with the agency generally reinforcing its recent focus on site-neutral payment policies, lowering reimbursement for drugs purchased under the 340B program, and adding more services to the list of prior authorization. 

July 29, 2020
HIM Briefings

With no uniformly recognized standard or body of law on how to document the fair market value of compensation arrangements, it’s up to organizations to develop defensible internal methodologies. Use these expert tips and checklist as a template for your organization.

July 29, 2020
Medicare Insider

This week’s Medicare updates include the renewal of the public health emergency for another 90 days, an advisory opinion on charitable organizations resolving medical debt, additional updates to COVID-19 billing FAQs, and more!

July 22, 2020
Medicare Insider

This week’s Medicare updates include new FAQ items for COVID-19 billing, updates to the OIG work plan, and another revision to the July 2020 OPPS update.

July 20, 2020
News & Insights

Q: How is the Medicare Part A and B deductible applied to blood products?

July 15, 2020
Medicare Insider

This week’s Medicare updates include the 2021 End Stage Renal Disease Prospective Payment System proposed rule, updates on assorted demonstration models that were paused during the COVID-19 public health emergency, reprocessing instructions for certain IPPS claims, and more! 

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