The Centers for Medicare and Medicaid Services has issued a rule for additional safeguards to protect consumers from unauthorized changes to their healthcare coverage in the Affordable Care Act ...
If you are a healthcare provider enrolled with Medicare and Medicaid, it is imperative that you know the governmental agencies’ expectations for compliant billing and understand that the agencies ...
On January 31, 2024, the Centers for Medicare and Medicaid Services (CMS) released the Calendar Year (CY) 2025 Advance Notice for Methodological Changes for Medicare Advantage Capitation Rates and ...
The Centers for Medicare and Medicaid Services has issued Transmittal 620 to address improper payments in areas discussed in four reports released by the Office of the Inspector General. CMS advises ...
Last month, in the last advisory opinion issued by the Office of Inspector General (“OIG”) in 2023 – Advisory Opinion No. 23-11 (the “Opinion”) – OIG “blessed” an arrangement involving a medical ...
Hospitals could be left scrambling to meet guidelines after the Centers for Medicare and Medicaid released Version 4 of its AI Playbook. The playbook documents the agency’s evolving approach to AI ...
The Office of Inspector General conducted unannounced visits to 132 independent diagnostic testing facilities in the Los Angeles area, finding 46 of them to be noncompliant with selected Medicare ...
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