Contact

Updates
Coding

Medicare Telehealth Flexibilities Extended Through January 30, 2026: What Healthcare Organizations Need to Do Now

With the passage of H.R. 5371, the government shutdown has officially ended—and key Medicare telehealth flexibilities have been restored and extended through January 30, 2026. This extension closes the legal gap created during the 42-day lapse and brings welcomed stability to providers, compliance teams, and patients relying on telehealth services. What’s Extended Through January

Read More »
November 18, 2025
2026 MPFS

CMS Releases 2026 MPFS Final Rule

The Centers for Medicare & Medicaid Services (CMS) has issued the CY 2026 Medicare PFS Final Rule (CMS-1832-F), and it brings major updates to payment policies under Medicare Part B. Here’s what you need to know: Separate Conversion Factors: Beginning in 2026, two conversion factors will apply—one for qualifying alternative payment model

Read More »
November 3, 2025
Audit

🚨 Medicare Telehealth Update – Effective Today (October 1, 2025) Section 2207 of the Full-Year Continuing Appropriations and Extensions Act, 2025 extended many pandemic-era telehealth flexibilities only through September 30, 2025. Starting today, several pre-COVID statutory limitations are back in effect for most Medicare telehealth services: Geographic restrictions are back — telehealth services must now be provided in

Read More »
October 1, 2025
Audit

OIG Report- $2.4B in Unallowable Trauma Activation Charges

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 requirements. Key Findings: $2.4 billion in estimated unallowable charges. 107 out of 125 sampled claims failed to meet Medicare criteria. Common issues included: No prehospital notification. Trauma

Read More »
September 29, 2025
Compliance

2026 ICD-10 Coding Changes and Implementation Deadline – Are You Ready?

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 condition and technology specific changes and broader coding clarifications for ICD-10-CM in which clinical and coding staff should be aware. ICD-10-CM Key Highlights: New guidance

Read More »
August 25, 2025
2026 OPPS

CMS Releases the 2026 Proposed OPPS Rule

The Centers for Medicare & Medicaid Services (CMS) has released the CY 2026 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Proposed Rule (CMS-1834-P). This sweeping proposed rule outlines new payment policies, transparency requirements, and quality program updates that will shape how outpatient care is delivered and

Read More »
July 16, 2025

Ready to discuss your project with us?

Contact Us Today
Contact