Medicare could have saved over $300 million if bundled payments for opioid use disorder (OUD) treatments more accurately reflected the services provided, according to a recent Office of Inspector General (OIG) audit report.
CMS issues an annual Outpatient Prospective Payment System (OPPS) proposed rule to list and detail proposed changes to Medicare outpatient coding and billing. This program will help listeners understand the potential changes and prepare to implement them. During this 60-minute webinar, expert...
CMS issues an annual Medicare Physician Fee Schedule (MPFS) proposed rule to list and detail potential policy changes that could impact physician reimbursement. This program will help listeners understand the proposed changes and prepare to implement them if they become permanent. During this 60...
The Office of Inspector General (OIG) released a report on billing patterns for remote patient monitoring (RPM) services, highlighting the expanding use of these services and a need for additional oversight.
Heightened and increasing complex payer denial activity are putting growing pressure on hospitals. With major shifts in reimbursement, and the growing costs of simply keeping the doors open and caring for patients, denials are just one more obstacle hospitals face. But fortunately, it’s one that...
Hospitals are reinventing their approach to denials to meet today’s challenges—and get ahead of future shifts in payer tactics. They know that the payer landscape has undergone a tremendous shift in recent years, with Medicare Advantage (MA) overtaking traditional Medicare in many markets and...
