Compliance

Ensure your organization is in compliance with CMS’ latest requirements.

Take a look at the implications and compliance risks of the No Surprises Act.

CMS is rescinding audit determinations for off-campus provider-based departments that claimed the mid-build exception under the 21^st Century Cures Act,

Less than a year after CMS finalized the three-year phaseout of the inpatient-only (IPO) list to be completed by 2024, the agency is looking to reverse course, according to the 2022 OPPS proposed rule, released Monday, July 19.

Balance billing for emergency services and certain other services will be subject to new limitations, according to an interim final rule with comment period released July 1 by HHS.

Reach the next level of revenue integrity

Brush up on the most recent changes to Medicare’s prior authorization requirements and their operational impact.

Consider how revenue integrity and utilization review teams can work together to meet shared goals.

Gain a fresh perspective on methods to efficiently address patient status changes.

Consider these case studies to understand how to apply condition codes 44 and W2.