The OIG (Office of Inspector General) and Medicare Administrative Contractors (MACs) are heavily scrutinizing telehealth, remote patient monitoring (RPM), remote therapeutic monitoring (RTM), and communication-based services because of rapid Medicare spending growth and fraud concerns. Current...

CMS issues an annual Inpatient Prospective Payment System (IPPS) final rule to outline key changes to Medicare payment policies for inpatient services in the upcoming fiscal year (FY). This program will help listeners understand the finalized FY 2027 payment rates, as well as other significant...

CMS issues an annual Medicare Physician Fee Schedule (MPFS) proposed rule to introduce potential payment and policy changes related to physician services for the coming year. This program will help listeners understand the proposals and prepare for possible implementation.

During this 60-...

CMS issues an annual Outpatient Prospective Payment System (OPPS) proposed rule to list and detail potential changes to Medicare outpatient coding and billing. This program will help listeners understand the tentative changes ahead of the final rule publication later this year.

During...

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