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 »
The Office of the Inspector General (OIG) recently concluded an audit aimed at determining whether significant cost savings could be realized for the Medicare program in post-acute care (PAC) discharge policy, according to a press...Read More »
In 2020, tax-exempt hospitals provided approximately $130 billion in total benefits to their surrounding communities, $57 billion of which was used for financial assistance for patients in need,...Read More »
