News & Analysis

Note from the instructor: Learning from OIG audits and deploying audit practices

January 27, 2022
Medicare Insider

This week's note from the instructor discusses how to use OIG audits to help refine internal audit techniques. 

Note from the instructor: OIG explores expansion of window rules to outpatient preadmission services provided by affiliated facilities

January 13, 2022
Medicare Insider

This week's note from the instructor looks at the implications of a recent OIG report on Medicare's DRG window policy.

Note from the instructor: Congress extends COVID PHE Medicare payment relief provisions

December 21, 2021
Medicare Insider

This week's note from the instructor walks through the payment implications of the Protecting Medicare and American Farmers from Sequestor Cuts Act.

Note from the instructor: CY 2022 updates to Medicare beneficiary cost sharing

December 16, 2021
Medicare Insider

This week's note from the instructor reviews the updates to Medicare premiums, cost-sharing amounts, and more for CY 2022.

Note from the instructor: CMS details Radiation Oncology Model information for first performance year

December 10, 2021
Medicare Insider

This week's note from the instructor reviews the intricacies of the Radiation Oncology Model as finalized in the 2022 Outpatient Prospective Payment System Final Rule.

Note from the instructor: U.S. Supreme Court looks to sort out Medicare’s impossible math calculation

December 2, 2021
Medicare Insider

This week's note from the instructor looks at the payment implications and disproportionate share hospital calculations affected by the Becerra vs. Empire Health Foundation lawsuit currently being heard by the U.S. Supreme Court.

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