The GAO Releases New Report on Claims Review Programs, Recommending Additional Prepayment Review Authority and Written Guidance on Calculating Savings from Prepayment Review Written by Kathy Lester on May 17, 2016. Posted in Government Affairs, Medicare, Member Advisories, Reimbursement, Talking Medicare.
CMS Releases Medicare Provider Utilization and Payment Data for CY 2014 for Ambulance Suppliers, Physicians and Other Part B Organizations Written by Brian Werfel on May 17, 2016. Posted in Government Affairs, Medicare, Member Advisories, Reimbursement, Talking Medicare.
Prior Authorization Pilot Program – Status Update Written by David Werfel on May 12, 2016. Posted in Medicare, Member Advisories, Member-Only.
HHS Office of Civil Rights Announces Phase 2 HIPAA Audit Review Program Written by Brian Werfel on April 25, 2016. Posted in Medicaid, Medicare, Regulatory, Reimbursement, Talking Medicare.
CMS Publishes Medicare Fee-for-Service Provider & Supplier Lists Written by Tristan North on February 22, 2016. Posted in Government Affairs, Medicaid, Medicare, News.
CMS Releases Ambulance Cost Data Collection Report Written by Tristan North on December 4, 2015. Posted in Cost Survey, Government Affairs, Medicare, Member Advisories, Member-Only, News, Reimbursement.
CMS Announces 2016 Inflation Factor Written by David Werfel on November 18, 2015. Posted in Government Affairs, Member Advisories, Member-Only, Regulatory.
Prior Auth Expansion to MD, DE, DC, NC, VA, WV Written by Kathy Lester on October 26, 2015. Posted in Medicare, Member Advisories, Member-Only, Reimbursement.
Member Advisory: CMS Releases the ICD-10 Crosswalk Written by Kathy Lester on October 9, 2015. Posted in Government Affairs, Medicaid, Medicare, Member Advisories, Member-Only, Regulatory, Reimbursement.
Redeterminations/Reconsiderations: Scope of Review Limited Written by David Werfel on September 18, 2015. Posted in Medicare, Member Advisories, Member-Only.
Submit Comments on Proposed Rule to CY2016 Fee Schedule Changes Written by Michael Hall on September 2, 2015. Posted in Medicare, Member Advisories, Member-Only.
CMS Issues Proposed Rule for Calendar Year 2016 Written by Brian Werfel on July 10, 2015. Posted in Government Affairs, Legislative, Medicare, Member Advisories, Member-Only, Regulatory, Reimbursement. Continue reading
CMS Releases Article on Prior Authorization Written by David Werfel on June 16, 2015. Posted in Medicare, Member Advisories, Reimbursement. Continue reading
