News & Analysis

April 15, 2019
News & Insights

Q: What are the recommended key performance indicators to include on a payer scorecard?

April 15, 2019
News & Insights

Provider participation in the BPCI Advanced program fell by 16% between October 1, 2018, and March 1, 2019, at the initiation of the risk-bearing phase of the voluntary payment program. Overall participation includes nearly 1,300 providers still participating, according to CMS.

April 10, 2019
News & Insights

Representatives from CMS and the Office of Inspector General (OIG) discussed hot topics and focus areas at HCCA's 2019 Compliance Institute in Boston, including developing interactive documentation checklists, potential changes to Stark Law this year, and methods to address the high rate of coding and documentation errors on inpatient rehabilitiation facility (IRF) claims.

April 10, 2019
Medicare Insider

This week’s Medicare updates include the Medicare Advantage and Part D rate announcement and final call letter, a fact sheet on the Preclusion List, updates to provider self-disclosure settlements, and more! 

April 8, 2019
News & Insights

Q: How do Medically Unlikely Edits (MUE) apply to clinical trials claims?

April 3, 2019
News & Insights

The Government Accountability Office (GAO) recommended that CMS assess and strengthen documentation requirements and medical reviews to more effectively prevent improper payments.

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