New SNF Consolidated Billing Edits: FAQs Written by Brian Werfel on August 20, 2019. Posted in Member Advisories, Member-Only, News, Reimbursement, Talking Medicare.
New SNF PPS Edits Highlight the Importance of Facility Agreements Written by Brian Werfel on May 16, 2019. Posted in Medicare, Member-Only, Reimbursement, Talking Medicare.
HHS OIG Issues Advisory Opinion on Community Paramedicine Written by Brian Werfel on March 20, 2019. Posted in Member Advisories, Member-Only, News, Operations, Patient Care, Talking Medicare.
AAA Releases 2019 State Medicaid Ambulance Rate Survey Written by Brian Werfel on February 12, 2019. Posted in Medicaid, Reimbursement, Talking Medicare.
Talking Medicare: CMS Implements Further Dialysis Cuts Written by Brian Werfel on October 8, 2018. Posted in Advocacy Priorities, Member-Only, News, Reimbursement, Talking Medicare.
Talking Medicare: DOJ Settlement Highlights Importance of Exclusion Testing Written by Brian Werfel on August 3, 2018. Posted in Medicare, Member-Only, Talking Medicare.
Talking Medicare: GAO urges CMS to continue prior authorization Written by Brian Werfel on May 30, 2018. Posted in Member-Only, Talking Medicare.
Talking Medicare: A Good Thing Poorly Explained Written by Brian Werfel on April 19, 2018. Posted in Medicare, Regulatory, Talking Medicare.
First Interim Evaluation Report on Medicare Prior Authorization Written by Brian Werfel on March 12, 2018. Posted in Medicare, Talking Medicare.
Talking Medicare: Low Volume Settlement Option Written by Brian Werfel on February 1, 2018. Posted in Medicare, Reimbursement, Talking Medicare.
Navigating a Post-Prior Authorization World Written by Brian Werfel on December 1, 2017. Posted in Medicare, Member-Only, Talking Medicare.
Preliminary Estimate of 2018 Medicare Rates Written by Brian Werfel on August 31, 2017. Posted in Finance, Medicare, Member-Only, News, Reimbursement, Talking Medicare.
Talking Medicare: Prior Authorization Spending Update Written by Brian Werfel on August 3, 2017. Posted in Member-Only, News, Reimbursement, Talking Medicare.
Talking Medicare: CMS Transmittal 236 Written by Brian Werfel on June 30, 2017. Posted in Government Affairs, Member Advisories, Regulatory, Talking Medicare.
OIG Looking into SNF Consolidated Billing Claims Written by Brian Werfel on May 31, 2017. Posted in Medicare, Talking Medicare.
UnitedHealthCare Denials for ALS-2 Claims Written by Brian Werfel on May 9, 2017. Posted in Medicaid, Medicare, Member-Only, Private Insurance, Reimbursement, Talking Medicare.
Understanding CERT Written by Brian Werfel on April 3, 2017. Posted in Medicare, Member-Only, Talking Medicare.
2015 Medicare Data Shows Evident of Crackdown on Non-Emergency Transport Written by Brian Werfel on November 29, 2016. Posted in Medicaid, Medicare, Reimbursement, Talking Medicare.
Findings Patterns Where None Exist Written by Brian Werfel on October 28, 2016. Posted in Medicaid, Medicare, Reimbursement, Talking Medicare.
Prior Authorization Data Shows Dramatic Reductions in Spending on Dialysis Transports Written by Brian Werfel on October 3, 2016. Posted in Medicare, Talking Medicare.
