CMS authorized independent dispute resolution (IDR) entities to resume payment determinations for disputes involving items or services furnished on or after October 25, 2022.Read More »
Medicare could have saved over $200 million in payments for definitive drug testing services between 2016 and 2020 if proper program safeguards had been in place, according to a recent audit report by the Office of Inspector General (OIG).Read More »
Providers are more frequently billing for outpatient evaluation and management services with high-level codes, which has led to higher outpatient spending, according to a recent study.Read More »
HHS released a policy roadmap for providers ahead of the public health emergency (PHE) conclusion. The roadmap details policies that will simultaneously end with the PHE, as well as flexibilities that have been extended for various time periods.Read More »
Over three-quarters of hospitals remain noncompliant with federal price transparency regulations, according to a PatientRightsAdvocate.org report.Read More »
CMS released guidance and FAQs on the enrollment and conversion process for the newest Medicare provider type, rural emergency hospitals (REH).Read More »