Revenue cycle leaders reported denials management as their most time-consuming revenue cycle task, followed by prior authorizations, according to a new survey released by AKASA. From a list of 15 different revenue cycle tasks, respondents selected...Read More »
This judicial term, the Supreme Court of the United States (SCOTUS) has agreed to hear two joint cases regarding the standard of scienter (“intent or knowledge of wrongdoing”) in legal situations pertaining to the False Claims Act (FCA).
Requiring Medicare Advantage (MA) organizations (MAO) to definitively identify payment denials on encounter records submitted for MA would enhance program oversight and help combat fraud, according to a new report submitted by the Office of Inspector General (OIG). Although most 2019 MA...Read More »