Despite opposition from many stakeholders, a bipartisan contingent of Congress, and CMS’ own advisory panel,the agency is moving forward with its...Read More »
Understand the rules and regulations of the Medicare Access and CHIP Reauthorization Act.Read More »
Key issues discussed during the Provider Roundtable.Read More »
Use this resource as a guide on the processes that come together to form the revenue integrity cycle.
The Food and Drug Administration (FDA) approved the first gene therapy released in the U.S., Kymriah, also known as chimeric antigen receptor T-...Read More »
Use this sample form as a guide for notifying patients of guidelines for Medicare outpatient/observation.
Use this sample letter to notify patients of a post-discharge self-denial by the utilization review committee.
This document provides guidance on key performance indicators for denials management and revenue integrity, including calculations for denials rates and denials overturn ratios.
This sample form helps identify utilization management committee tasks and responsibilities.
This presentation provides gudiance on utilization management committee structure and accountability.