News & Analysis

July 17, 2024
Medicare Insider

This week’s Medicare updates include the 2024 OPPS and MPFS proposed rules, resources and flexibilities available to those impacted by Hurricane Beryl, and more!

July 3, 2024
Briefings on APCs

CMS recently finalized a multitude of new price transparency requirements in the 2024 Outpatient Prospective Payment System (OPPS) final rule. These requirements have staggered enforcement deadlines, which means that revenue integrity professionals have their work cut out for them in the coming year to ensure their organization is in compliance. 

June 26, 2024
Medicare Insider

This week’s Medicare updates include a final rule on Part D health information technology standards, an FAQ on hospital price transparency requirements commencing July 1, and more!

June 19, 2024
Briefings on APCs

Make sure staff who handle audit requests understand when a missing signature should — or should not — trigger an automatic denial of your claims or prior authorization requests. Recent guidance from CMS clarifies how auditors should proceed when a medical record lacks a signature.

June 12, 2024
Briefings on APCs

Rabies is a viral disease that affects the central nervous system. Refresh on reporting protocols for rabies exposure and treatments in ICD-10-CM.

June 5, 2024
Medicare Insider

This week’s Medicare updates include an OIG report on Medicare vulnerabilities related to off-the-shelf orthotic braces, a revised MLN Fact Sheet on swing bed services, and more!

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