CMS recently released its 2026‒2027 seasonal influenza and COVID-19 vaccine pricing file, providing updated Part B payment allowances for several COVID-19 vaccine products.
During this 60-minute webinar, expert speakers Kimberly Hoy, JD, CPC, and Valerie Rinkle, MPH, CHRI, will explain how to navigate compliance with off-campus provider-based department (PBD) regulations, including recent changes to regulatory guidance and requirements, how to navigate deadlines...
As documentation requirements grow more complex and payer scrutiny continues to increase, many healthcare organizations are discovering that maintaining documentation integrity requires more than...
In a recent letter, HHS called on the Office of Inspector General (OIG) to examine healthcare organizations’ billing of gender-affirming care provided to minors.
CMS is moving forward with it’s plans for a mandatory nationwide rollout of the Comprehensive Joint Replacement Expanded (CJR-X), according to the 2027 Inpatient Prospective Payment System (IPPS) final rule.
CMS recently launched the Medicare GLP-1 Bridge, a short-term demonstration that provides eligible Part D beneficiaries with access to certain glucagon‐like peptide‐1 (GLP-1) drugs.
Denials rarely start at the payer. They often begin upstream, in the gaps between clinical, financial and quality workflows, where teams may be aligned in purpose but disconnected by process. In this fireside chat healthcare leaders...
