The new guidance covers how payment determinations are made, what information may and may not be used, and the scope of independent dispute resolution entities’ decisions.Read More »
The agenda for the 2022 Revenue Integrity Symposium (RIS) has been released. The event, to be held September 19–20 at the Hilton Phoenix Resort at the Peak in Phoenix, Arizona, will feature two educational tracks covering essential revenue integrity education, updates, and thought leadership.Read More »
Among the proposed changes, many of which affect quality and data reporting programs, are proposed changes to claims data used for rate setting, a delay of the three way split criteria for MS-DRGs, and more.Read More »
