After the Office of Inspector General discovered Medicare paid millions more for physician services at higher non-facility rates while enrollees were inpatients, CMS is taking steps to ensure proper place of service (POS) code selection.Read More »
Emergency department (ED) charges are the least likely to be entered by clinical staff or triggered by clinical documentation, according to the preliminary results of the 2025 State of the Revenue Integrity Industry Survey. The survey, which collects information on revenue integrity processes,...Read More »
The 2025 Revenue Integrity Symposium (RIS) features three tracks, dozens of revenue integrity experts and leaders, and a range of topics that matter the most to revenue integrity and revenue cycle professionals.Read More »
As hospitals continue to struggle to comply with price transparency requirements, HHS has been tasked with updating guidance and enforcement actions.Read More »
The American Hospital Association (AHA) released a report to highlight how Medicare Advantage (MA) organizations create increased administrative and financial burdens for rural hospitals.Read More »
CMS published the January 2025 update of the Outpatient Prospective Payment System (OPPS), which includes changes to skin substitute codes, pass-through devices, and more.Read More »
