CMS modified its proposal to expand prior authorization and step therapy to protected classes of drugs for Part D and Medicare Advantage beneficiaries, according to a final rule released May 16.
This week’s Medicare updates include a final rule on Medicare Advantage drug pricing, the quarterly update for HCPCS drug/biological codes, an update to claim status and claim status category codes, and more!
The National Association of Healthcare Revenue Integrity (NAHRI) is pleased to announce Revenue Integrity Week, a national week of recognition for revenue integrity professionals, to be held June 3–7. This year’s theme is Scale New Heights: Elevate Your Profession and Career.
Adriane Martin, DO, FACOS, CCDS writes about the signs and symptoms of peripheral arterial disease (PAD) and ICD-10-PCS guidelines for reporting the condition.
Researchers at the Regenstrief Institute and Indiana University have developed a new tool for providers to track and potentially identify the early onset of serious underlying issues relevant for multiple chronic conditions that may otherwise go undetected.
