June 21, 2019
News & Insights

The Revenue Integrity Symposium is the only conference I have seen that is packed with sessions that will give revenue integrity professionals practical information that they can take back and institute the next day to help their facility success financially.

June 19, 2019
News & Insights

CMS may have overpaid hospitals, physicians, and freestanding facilities almost $270 million for polysomnography services that did not meet Medicare requirements over a two-year period, according to an Office of Inspector General report.

June 12, 2019
News & Insights

On June 11, CMS published a Request for Information (RFI) as part of its Patients Over Paperwork initiative to collect public input on ways to reduce unnecessary administrative and regulatory burden.

June 5, 2019
HIM Briefings

Put CMS’ proposed changes in perspective to see the bigger picture. Comments are due June 24, so hospitals will need to conduct a careful analysis to determine the impact of the proposed changes and submit specific feedback.

May 20, 2019
News & Insights

Q: Does this new policy apply to traditional Medicare only or does it also apply to Medicare Advantage?

May 15, 2019
News & Insights

HHS failed to meet targeted improper payment reductions for Medicaid and the Children’s Health Insurance Program and has not implemented a required recovery audit plan for Medicare Advantage, according to an Office of Inspector General (OIG) report.

May 13, 2019
News & Insights

Q: What is the deadline for refunding Medicare overpayments?

May 6, 2019
News & Insights

Q: Where can I find the most recent list of add-on code edits? How often is it updated?

May 1, 2019
HIM Briefings

The Office of Inspector General is stepping up audits of inpatient rehabilitation facility (IRF) claims. Use these expert tips to ensure your facility is coding and billing correctly for these services.

April 12, 2019
News & Insights

CMS released a bulletin April 10 on behalf of HHS seeking providers to participate in a volunteer Provider Pilot Program to test the process for reviewing compliance with its HIPAA Administrative Simplification rules.

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