News & Analysis

This Week in Medicare—6/4/2025

June 4, 2025
Medicare Insider

This week’s Medicare updates include a revised fact sheet on swing bed services, a correction notice for the CY 2026 Medicare Advantage and Part D final rule, and more!

This Week in Medicare—5/28/2025

May 28, 2025
Medicare Insider

This week’s Medicare updates include new guidance on hospital price transparency requirements, updated HCPCS code lists for various discarded drug policies, and more!

Risk adjustment readiness strategies for HIM leaders

May 28, 2025
HIM Briefings

With risk adjustment’s impact on reimbursement, review tips for accurate coding, compliant documentation, and timely responses.

CMS sets sights on enhancing MA auditing efforts

May 28, 2025
News & Insights

Learn how CMS plans to enhance its risk adjustment data validation auditing efforts for Medicare Advantage (MA) plans and recover overpayments.

CMS issues draft guidance on Medicare Drug Price Negotiation Program

May 21, 2025
News & Insights

CMS is seeking feedback on potential policy changes ahead of the third cycle of negotiations under the Medicare Drug Price Negotiation Program.

The expanding role of HIM in SDOH data

May 21, 2025
HIM Briefings

Learn how HIM professionals can leverage data related to social determinants of health (SDOH) to improve patient care and secure proper reimbursement.

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