Auditing and monitoring

This week’s Medicare updates include an NCD final decision memo for coverage of respiratory assist devices, a favorable OIG advisory opinion, and more!

This week’s Medicare updates include the OIG’s Semiannual Report to Congress, expired memorandums related to skilled nursing facilities, and more!

This week’s Medicare updates include a revised fact sheet on swing bed services, a correction notice for the CY 2026 Medicare Advantage and Part D final rule, and more!

This week’s Medicare updates include new guidance on hospital price transparency requirements, updated HCPCS code lists for various discarded drug policies, and more!

This week’s Medicare updates include draft guidance for the third cycle of the Medicare Drug Price Negotiation Program, the July 2025 HCPCS quarterly update file, and more!

This week’s Medicare updates include new waived tests under CLIA, skilled nursing facility billing clarifications, and more!

This week’s Medicare updates include an OIG data brief on opioid use disorder medications, an adjustment to the editing process for RHC and FQHC claims that include a GV modifier, and more!

This week’s Medicare updates include revisions to the 2025 NCCI Policy Manual, a list of HCPCS codes subject to modifier -JW and -JZ policy, and more!

This week’s Medicare updates include the April 2025 HCPCS file update, an OIG data brief on 2023 Part D spending, and more!

This week’s Medicare updates include an OIG report on CMS’ over-the-counter COVID-19 test kits demonstration, roster billing for hepatitis B vaccines, and more!