Kimberly A. Hoy, JD, CPC, and Teri Rice, MSN, MHA, MBA, RN, CHC, discuss the impact of CMS' changes in the 2024 Outpatient Prospective Payment System (OPPS) final rule.

This sample policy was provided to the National Association of Healthcare Revenue Integrity (NAHRI) by Erin Brearley Cutter, MBA, CHRI, CRCR, COC, CPC, revenue integrity director at Concord Hospital Health System in New Hampshire.

Kimberly A. Hoy, JD, CPC, explains recent changes to prior authorization rules for Medicare Advantage payers and how they affect hospitals.

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