Autumn is the perfect time to think about change, as CDI Education Director Laurie Prescott put it in her note for this week’s CDI Strategies. It’s particularly true for local chapter leadership teams. ACDIS requires three different volunteers from three different healthcare...Read More »
Independent Health and DxID violated the False Claims Act by submitting inaccurate information about Medicare Advantage plan beneficiaries’ health status in order to increase reimbursement, according to a Department of Justice (DOJ)...Read More »
CMS has released a proposal to repeal the final rule Medicare Program; Medicare Coverage of Innovative Technology (MCIT) and Definition of “Reasonable and Necessary.” The rule sought to deliver faster Medicare...Read More »
Hospital price transparency rules and penalties don't go far enough to actually control costs, according to an expert panel assembled by the Center on Health Insurance Reforms (...Read More »
Since the establishment of physician advisors, this important role has seen consistent growth in its scope of work. While most physician advisors began in the realm of ensuring medical necessity, there has been a gradual recognition of the importance of...Read More »