The Council's agenda for the March 19, 2026 meeting was:
•Presentation: How to optimize systems to involve clinicians in denials and use data to drive improvement ―Gopi Astik, MD, MS, medical director, Northwestern Memorial Hospital...
The Office of Inspector General (OIG) released new guidance to detail key risk areas relevant to the Medicare Advantage (MA) program and provide recommendations to various parties to mitigate these risks.
CMS recently provided Method II critical access hospitals (CAH) with updated billing requirements for professional emergency services performed in the emergency department.
During this 60-minute webinar, expert speakers Kimberly A. Hoy, JD, CPC, and Teri Rice, MSN, MHA, MBA, RN, CHC, analyze the 2026 OPPS final rule and provide insights on key provisions.
During this 60-minute webinar, expert speakers Amy Inch, COTA, CPC, CPMA, and Yvette DeVay, MHA, CPC, CPMA, CIC, analyze the 2026 MPFS final rule and provide insights on key coding and billing changes.
CMS recently relaunched the Program for Evaluating Payment Patterns Electronic Report (PEPPER) for short-term acute care hospitals, restoring these facilities’ access to a valuable data tool that assists with claim accuracy.
CMS is preparing to launch the Outpatient Prospective Payment System (OPPS) Drug Acquisition Cost Survey to collect acquisition costs for certain outpatient drugs and biologicals.
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.
