News & Analysis

January 17, 2017
Medicare Insider

This week's note from the instructor discusses the future of Recovery Auditor reviews and the latest information from CMS as discussed during the recent Hospital Open Door Forum.

January 1, 2017
Briefings on APCs

Managers should not assume that they can review every guideline, every item in Coding Clinic, or every coding-related issue targeted by the Office of Inspector General or Recovery Auditor. 

December 13, 2016
Medicare Insider

This week’s Medicare updates include the final Medicare Outpatient Observation Notice (MOON), a CY 2017 Update to the DMEPOS fee schedule, information on the CJR Model Skilled SNF 3-Day Rule Waiver, and more!

November 8, 2016
Medicare Insider

This week’s Medicare updates include the release of the End-Stage Renal Disease Prospective Payment System final rule, an announcement of the next round of Medicare Recovery Audit Contractors, the Hospital Outpatient Prospective Payment Changes for 2017 final rule, CY 2017 Home Health Prospective Payment System, a Hospital Appeals Settlement Update, and more!

June 27, 2016
Medicare Insider

The 2016 Revenue Integrity Symposium brings together training on Medicare billing and compliance, case management, revenue integrity, coding, CDI, and patient status, and more.

May 25, 2016
Medicare Insider

There is one newly approved Recovery Auditor issue.