
2024 Medicare Advantage Program Changes: What You Need to Know
This new rule introduces several key changes that will promote transparency and consistency in healthcare coverage decisions. … Read More
This new rule introduces several key changes that will promote transparency and consistency in healthcare coverage decisions. … Read More
Cigna added to the list of codes to be denied if billed without a corresponding CPT or HCPCS code starting May 1, 2023. … Read More
Key changes promote transparency in coverage decisions for MA beneficiaries, while ensuring providers can offer the best care for patients. … Read More
New policy states any separately identifiable E/M service performed on the same day as a minor procedure must be submitted with office notes. … Read More
A cardiac monitoring company and its subsidiary agreed to a settlement with the DOJ following allegations they violated the False Claims Act. … Read More
CMS issued a proposed rule that could change utilization management and prior authorization criteria for Medicare Advantage plans. … Read More
OIG and CMS agree more scrutiny is needed for Medicare bad debt reimbursement and encourage more regular review of bad debts claimed. … Read More
The OIG issued an Advisory Opinion on nurse practitioners providing services that are traditionally performed by primary care physicians. … Read More
A federal court decision highlights the risk providers may face if they do not comply with Medicare Bad Debt regulations. … Read More
Providers should learn from recent convictions to reduce their risk of committing telehealth fraud and abuse as federal oversight continues. … Read More