News & Analysis

September 25, 2024
Medicare Insider

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!

September 11, 2024
Case Management Monthly

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.

August 28, 2024
Medicare Insider

This week’s Medicare updates include a favorable OIG Advisory Opinion, revised coding guidance for NCD 110.23, and more!

August 7, 2024
Medicare Insider

This week’s Medicare updates include the 2025 IPPS final rule, the 2025 SNF PPS final rule, and more!

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.

June 12, 2024
HIM Briefings

Identify ways to improve query processes and interdepartmental coordination to ensure patient safety indicators (PSI) are reported correctly.

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