The Office of Inspector General (OIG) recently released an audit report on prior authorization and payment denials by Medicare Advantage Organizations (MAO). The result raised OIG concerns about certain MAO denial practices impacting beneficiary access to medically necessary care.
The COVID-19 PHE is expected to conclude at the end of the day on May 11. To assist providers during this transition, CMS released an FAQ to clarify the expiration timelines for various Medicare waivers and flexibilities.
NAHRI members learned about the latest association news, tips for managing the unwinding of COVID-19 public health emergency (PHE) waivers, and more on the April 25 NAHRI Quarterly Call.
Revenue Integrity Week, to be held June 5–9, is just around the corner. This annual week of recognition for revenue integrity professionals is the perfect opportunity to acknowledge your colleagues and the incredible work they do to support their organizations.
NAHRI is currently accepting applications for three open positions on its Advisory Board. If you’ve wanted an opportunity to make strong connections, provide feedback and guidance on the direction of NAHRI and industry needs, and give back to the revenue integrity community, now's your chance.
The Office of Inspector General (OIG) announced it will audit CMS’ use of remote patient monitoring services. The review will focus on the nature of these services, as well as the characteristics of Medicare enrollees who use them.
CMS' fiscal year IPPS proposed rule includes proposals to increase hospital payments, ICD-10-CM/PCS code updates, and adjustments to new technology add-on payments. The proposed rule also covers potential updates to quality reporting and other programs.
HHS published an FAQ to clarify how the COVID-19 public health emergency (PHE) conclusion, which is expected to occur on May 11, will impact coverage of testing, treatment, and preventive services.
