Jay Hancock, Senior Correspondent, Kaiser Health News October 6, 2021 Anthem Blue Cross, the country’s second-biggest health insurance company, is […]
By Richelle Marting, JD, MHSA, RHIA, CPC, CEMC, CPMA, CPC-I | August 23, 2021 | Audits, Appeal Writing, Appeals, Clinical […]
By Denise Wilson | June 29, 2021 | CMS, Medicare Advantage Kaiser Family Foundation (KFF) issued a report on June […]
By Denise Wilson | May 11, 2021 | Audits, Denials, Evidence-Based Guidelines, Medicare Advantage, Sepsis United Healthcare (UHC) has announced […]
This bill establishes documentation requirements for testing, treatment, and reporting related to COVID-19; and makes it unlawful to knowingly report […]
On October 30, 2020 CMS announced a pilot process to enable Medicare Administrative Contractors (MACs) to receive pertinent documentation from […]
Now that the prior authorization process that CMS put into place for certain outpatient department services is in full swing, […]
Starting October 1, 2020, the Centers for Medicare & Medicaid Services (CMS) regulations require providers (including short- and long-term acute […]
On August 17, 2020, CMS released a revised MLN Matters SE20015 to announce a change in the application of the […]
CMS has announced that to protect the Medicare Trust Fund against inappropriate payments, Medicare Administrative Contractors (MACs) are resuming fee-for-service […]