Organizations could see a flood of new codes along with significant changes to the Medicare Shared Savings Program (MSSP) and coverage of telehealth services, according the 2025 Medicare Physician Fee Schedule (MPFS) proposed rule.Read More »
CMS is considering a significant change to how it pays for certain high-cost radiopharmaceuticals, as well as a sweeping new set of Conditions of Participation (CoPs) aimed at maternal health, and a slew of other changes in the 2025 Outpatient Prospective Payment System (OPPS)...Read More »
Kimberly A. Hoy, JD, CPC, discusses how her session at the 2024 Revenue Integrity Symposium will help organizations fight back against improper Medicare Advantage denials.Read More »
CityMD, an urgent care center group, has agreed to pay over $12 million to settle alleged False Claims Act violations related to reimbursement for COVID-19 testing. Read More »
The 2024 State of the Revenue Integrity Industry Report takes a deep dive into standards and trends across the industry to highlight the work revenue integrity professionals do.Read More »
