News & Analysis

November 21, 2018
News & Insights

Novitas Solutions, Inc. plans to pursue $7.2 million in intensity-modulated radiation therapy (IMRT) overpayments to hospitals in its jurisdiction, according to an Office of Inspector General report.

November 21, 2018
Medicare Insider

This week’s Medicare updates include new additions to the OIG Work Plan, transmittals on implementation of the End-Stage Renal Disease Prospective Payment System (PPS) and Home Health PPS, and a Special Edition MLN Matters article on waivers to assist with wildfire relief in California.  

November 14, 2018
HIM Briefings

Take a look at the appeal process from the perspective of a hospital that submitted a redetermination request after a claim for cataract surgery was reopened.

November 12, 2018
News & Insights

Q: What activities are required of an accountable care organization (ACO) during performance years?

November 7, 2018
News & Insights

Most inpatient rehabilitation facility stays might not meet Medicare coverage or documentation requirements and compliance could be improved through a preauthorization process, according to a recent Office of Inspector General report.

November 7, 2018
Medicare Insider

This week’s Medicare updates include final rules for the Outpatient Prospective Payment System, Medicare Physician Fee Schedule. End-Stage Renal Disease Prospective Payment System, and more!

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