The Office of Inspector General (OIG) recently conducted an audit to identify potential vulnerabilities in the Medicare program that could be contributing to improper payments for virtual check-in and e-visit services. Read More »
Gain insights into how healthcare organizations can modernize the mid-revenue cycle by integrating AI-driven insights, interdepartmental audit programs, and targeted provider education across inpatient, outpatient, and professional settings.Read More »
In theory, charge-generating departments own charge reconciliation, usually with some level of support from revenue integrity. In practice, though, responsibility can get murky. Defining each department’s roles and responsibilities is a delicate art. If a policy is too strict and overly detailed...Read More »
CMS is weighing an expansion of the Comprehensive Care for Joint Replacement (CJR) model as well as cuts to disproportionate share hospital (DSH) payments, according to the fiscal year (FY) 2027 Inpatient Prospective Payment System (IPPS) proposed rule. Read More »
On May 13, 1-130 p.m. Eastern, get a sneak peek at what's in store for you at the 2026 Revenue Integrity Symposium (RIS), to be held September 24-25 in Savannah, Georgia!Read More »
CMS recently issued the calendar year (CY) 2027 Medicare Advantage (MA) and Part D rate announcement, which outlines upcoming changes to payment rates, risk adjustment policies, and more. Read More »
