by Kim Conner, BSN, RN, CCDS, CCDS-O
A great deal of change has occurred over the past three years in healthcare, and every organization nationally is feeling the financial burden in the wake of COVID-19 and recent natural disasters. CDI departments are stretched thin, pressured...Read More »
Of the metropolitan statistical areas in the United States, 79% have Medical Advantage (MA) markets that were highly concentrated in 2021, according to a...Read More »
The timeline for publication of the Medicare Advantage Risk Adjustment Data Validation (RADV) regulations has been extended further until February 1, 2023, according to a...Read More »
2023 annual payment updates for physicians, the Medicare shared savings program, and outpatient and home health services have all been published by CMS on October 31, 2022.
Some commercial health insurers apply policies that delay patient care, burden providers, and increase costs, according to a new report and infographic...Read More »
A recent audit by the Office of Inspector General (OIG) found that changes to CMS' system has significantly reduced Medicare overpayments to acute care hospitals for outpatient services. The OIG showed $39.3 million in overpayments had been made, particularly for services provided to...Read More »
