Gain expert insights into the nuances of how CMS' rules affect reimbursement and what revenue integrity can do to protect compliant revenue and adapt to changes.Read More »
Participation in the Transforming Episode Accountability Model (TEAM) is mandatory for acute care hospitals located in select core-based statistical areas (CBSA), but other hospitals could volunteer to test the...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 »
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 »
The Office of Inspector General (OIG) released new guidance to detail key risk areas relevant to the Medicare Advantage (MA) program and provide recommendations to various parties to mitigate these risks.Read More »