CDI Strategies - Volume 20, Issue 36

News: CMS issues updated prior authorization reporting guidance

August 27, 2026
News, Policies & Procedures, Quality & Regulatory

CMS released updated guidance that strengthens federal transparency requirements for prior authorization.

The CMS Interoperability and Prior Authorization final rule published in 2024 requires payers...Read More »
CDI Strategies - Volume 20, Issue 35

News: OIG audit finds unsupported stroke diagnoses may have led to millions in overpayments

August 20, 2026
Clinical & Coding, News, Policies & Procedures

A report from the Office of Inspector General (OIG) estimates that Medicare Advantage (MA) organizations may have received nearly $462 million in improper payments after submitting unsupported acute stroke diagnosis codes...Read More »
CDI Strategies - Volume 20, Issue 34

News: Senators introduce 340B legislation, encouraging transparency and program integrity

August 13, 2026
News, Policies & Procedures

A bipartisan group of United States senators introduced the Supporting Underserved and Strengthening Transparency,...Read More »
CDI Strategies - Volume 20, Issue 33

News: FY 2027 IPPS final rule released, increasing Medicare rates by 2.3%

August 6, 2026
News, Policies & Procedures

CMS issued the fiscal year (FY) 2027 Inpatient Prospective Payment System (IPPS) final rule to increase Medicare rates...Read More »
CDI Strategies - Volume 20, Issue 33

News: OIG issues semiannual report to Congress, making recommendations for better spending

August 6, 2026
News, Policies & Procedures

The Office of Inspector General (OIG) published its semiannual report to Congress. The latest version summarized key oversight activities conducted between October 1, 2025, and March 31, 2026. The report informs Health and...Read More »
CDI Strategies - Volume 20, Issue 33

Join us for an ACDIS Quarterly Member Call on Thursday, August 20 at 1 p.m.!

August 6, 2026
ACDIS Events, ACDIS Leadership Council, ACDIS Update, Policies & Procedures

ACDIS members are encouraged to join us for the third ACDIS Quarterly Member Call on Thursday, August 20, 2026, at 1 p.m. Eastern. During the call, members of the ACDIS leadership and educational teams will discuss the fiscal...Read More »
CDI Strategies - Volume 20, Issue 32

News: CMS issues new guidance on claims processing codes

July 30, 2026
News, Policies & Procedures

CMS released updated guidance this month on new remittance advice remark codes (RARC) required for use following updated to the No Surprises Act independent dispute resolution...Read More »
CDI Strategies - Volume 20, Issue 26

News: Health insurance costs projected to hit 17-year high in 2027

June 18, 2026
News, Policies & Procedures

Commercial health plans are facing the steepest single-year cost increase in 17 years, with the group market trend projected to reach 9% in 2027, according to PwC’s annual medical cost...Read More »

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