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 »
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 »
Revenue integrity professionals should take note of the latest edition of the National Correct Coding Initiative (NCCI) quarterly edit files, which take effect on April 1.Read More »
Review upcoming changes to modifier -AX reporting requirements and other end-stage renal disease (ESRD) and acute kidney injury (AKI) billing instructions.Read More »
