The Office of Inspector General (OIG) just released a critical audit revealing that 77% of trauma team activation claims submitted to Medicare between 2020 and 2022 did not meet federal
The October 1st implementation date for the 2026 ICD-10-CMS and ICD-10-PCS changes are quickly approaching. Do you have an implementation plan? The updates bring both
The Centers for Medicare & Medicaid Services (CMS) has released the CY 2026 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Proposed
The Centers for Medicare & Medicaid Services (CMS) has issued the CY 2026 Medicare PFS Proposed Rule (CMS-1832-P), and it brings major updates to payment
The Centers for Medicare & Medicaid Services (CMS) has issued “Updated Hospital Price Transparency Guidance” (May 22, 2025) which outlines new policies pursuant to Executive Order
The Centers for Medicare & Medicaid Services (CMS) has announced a major expansion of its audits of Medicare Advantage (MA) plans. Effective immediately, CMS will
