The Medicaid and CHIP Payment and Access Commissions (MACPAC) approved recommendations it will issue to Congress this June. These recommendations include oversight and...Read More »
A bill to provide an extension of the Rural Community Hospital Demonstration Program was introduced on April 30. The legislation would grant a five-year extension to...Read More »
The CDC National Center for Health Statistics discussed 31 proposals involving procedure code topics at a public ICD-10 Coordination and Maintenance Committee Meeting held March 17–18, 2026. Of the 31...Read More »
Appeals of health insurance claim denials resulted in overturned decisions between 30% and 78% of the time when the case reached independent review organizations (IROs), found by an analysis from completed...Read More »
The Office of Inspector General (OIG) conducted an audit of Medicare Advantage (MA) organizations because some diagnoses are at a higher risk for being miscoded, which may result in overpayments from CMS. The audit is part of a larger series of audits in which we are reviewing the accuracy of...Read More »
