On November 6, 2023, CMS issued a proposed rule that would revise the Medicare Advantage Program (MA), Medicare Prescription Drug Benefit Program (Part D), Medicare Cost Plan Program, Programs of All-Inclusive Care for the...Read More »
Approximately 33% of patients who experienced a first-time atrial fibrillation (AF) episode while hospitalized for noncardiac reasons had additional AF episodes up to one year after being discharged, according to a study recently...Read More »
In 2022, insufficient documentation caused approximately 91% of improper payments by CMS, according to a report released by the United States Department of Health & Human...Read More »
The Office of Inspector General (OIG) recently completed an audit of CarePlus Health Plans, Inc., finding that 466 out of the 1,656 hierarchical condition category (HCC) codes reviewed could not be validated, according to a federal ...Read More »
Nearly 50% of providers have seen an overall increase in their denials rate compared to the previous year, according to a recent survey commissioned by AKASA. Another 27% said they saw no change, and 26% reported a decrease from 2022 to...Read More »
More than 110 organizations have signed a letter to the CMS asking to extend a waiver which allows providers to bill Medicare for telehealth services delivered...Read More »