News & Analysis

August 21, 2024
Medicare Insider

This week’s Medicare updates include an OIG report on improper payments for mechanical ventilation claims, new influenza vaccine payment allowances, and more!

July 31, 2024
Medicare Insider

This week’s Medicare updates include two new OIG Advisory Opinions, a CMS fact sheet on recent improvements to oral healthcare policies across programs, and more!

July 17, 2024
Case Management Monthly

The Office of Inspector General (OIG) released its Semiannual Report to Congress, which details its recent oversight efforts related to opioid use disorder.

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 26, 2024
Case Management Monthly

Review updates in the 2025 Medicare Advantage (MA) and Part D final rule that could impact case management practices.

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.

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