News & Analysis

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.

December 18, 2024
Medicare Insider

This week’s Medicare updates include a favorable OIG Advisory Opinion, a new CMS framework for improving healthcare delivery and care experience, and more!

December 11, 2024
Medicare Insider

This week’s Medicare updates include the OIG’s latest semiannual report to Congress, new NCCI edit files, and more!

December 4, 2024
Briefings on HIPAA

Ransomware threats in healthcare are growing. For instance, just look at three settlements from the Office for Civil Rights (OCR) occurring this past October. These enforcements mark the OCR's fifth, sixth, and seventh actions related to ransomware, and underscore the vital importance of proper cybersecurity safeguards.

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