CMS issued a proposed rule outlining plans to place new limitations on Medicaid state-directed payments (SDP) to reduce federal costs and better align Medicaid payments with Medicare standards.Read More »
After the FDA recently reclassified osteogenesis stimulators as class II devices, claims with certain HCPCS codes should no longer include modifier -KF.Read More »
UnitedHealthcare recently announced its plans to cut prior authorization requirements for 30% of services that previously required insurer approval by the end of 2026.Read More »
In the latest update to its Vaccine Administration National Fee Schedule, CMS established three Level II Healthcare Common Procedure Coding System (HCPCS) codes for billing a biosimilar used to treat COVID-19.Read More »
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 »
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 »
