Review CMS’ proposals in the 2023 Medicare Physician Fee Schedule for changes to facility E/M coding and other coverage and reimbursement updates.Read More »
A federal judge ruled in favor of the American Hospital Association (AHA) and other industry plaintiffs on September 28, ordering HHS to stop its reimbursement cuts to the 340B Drug Pricing Program for the remainder of the year.Read More »
Revenue integrity professionals gathered in Phoenix, Arizona, for the long-awaited return of the Revenue Integrity Symposium (RIS), held September 19-20. The event featured two tracks of education on the latest revenue integrity trends and challenges, CMS updates, and thought leadership.Read More »
The Office of Inspector General (OIG) recently released an audit report on Medicare integrity risks related to billing for telehealth services during the first year of the COVID-19 pandemic. Although the OIG identified only a small portion of high-risk providers, it acknowledged the need for...Read More »
Although productivity metrics are common in other revenue cycle departments, there are likely several reasons they don’t see widespread use in revenue integrity. Although the complexity of revenue integrity functions can be daunting to measure, the relative newness of many revenue integrity...Read More »
