This week’s Medicare updates include the COVID-19 vaccine prices for the 2024-2025 season, an updated MLN fact sheet on disproportionate share hospitals, and more!
Review what case managers should know about the new mandatory episode-based payment model approved by CMS in the 2025 Inpatient Prospective Payment System (IPPS) final rule.
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.
