The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule on December 6, 2022 that, among other things, […]
Jakob Emerson – Monday, October 17th, 2022 From Becker’s Payer Issues Stillwater Medical Center in Oklahoma has ended all in-network contracts with […]
RAC Denials of THA, TKA Over Radiology Reports Clash With CMS Guidance, Experts Say By Nina Youngstrom http://bit.ly/3GAtm3Z The fate […]
Earlier this year, the US Court of Appeals for the Second Circuit issued a decision on Barrows v. Becerra, a […]
Submit your comments! Here is your opportunity to sound off the CMS regarding the Medicare Advantage program. The Centers for […]
In a recent report, the Office of Inspector General found that Medicare improperly paid claims for implanted spinal neurostimulators when providers […]
The U.S. Department of Health and Human Services Office of Inspector General has issued its semiannual report to Congress covering […]
With little (no?) fanfare, CMS published a decision database of summaries of the Qualified Independent Contractor’s (QIC) decisions on Part […]
WHY WE DID THIS STUDY A central concern about the capitated payment model used in Medicare Advantage is the potential […]
Nick Hut | April18th, 2022 Progress being made in reducing a vast Medicare appeals backlog The American Hospital Association (AHA) […]