CMS has announced it will “pause” additional documentation requests from Medicare recovery audit contractors as the agency procures the next round of RAC contracts. The pause in operations will allow ...

INMYTEAM’s Oasis Assessments technology leverages AI, real-time voice transcription, and intelligent data filling to ...

CMS reports Medicare fee-for-service improper payments at $28.8 billion in fiscal 2025, with a 6.55% improper payment rate, down from 2024.

Service (FFS) estimated improper payment rate was 6.55%, or $28.83 billion, compared to the FY 2024 reported rate of 7.66%, ...

Additional Documentation Request (ADR) limits for the Recovery Audit Contractor (RAC) program have been set by The Centers for Medicare and Medicaid Services (CMS) for all Medicare providers, ...

Two recent publications issued by CMS clearly indicate that the organization is tightening its requirements for the documentation required to support medical necessity and mandated signatures on ...

The Biden administration is proposing a 2.8% decrease to physician payments in its newly released pay proposal for physicians, drawing near-immediate protest from the industry. Unveiled Wednesday ...

Turning 65 brings more than birthday wishes and retirement dreams. It ushers in the complex world of Medicare enrollment, ...

The newsletter outlines key differences between off-the-shelf (OTS), custom fitted, and custom fabricated knee orthoses, which dictate HCPCS coding and billing for these items. Physician and ...

At the 18th Annual Ambulatory Surgery Centers Conference in Chicago on Oct. 28, Sandra Jones, FHFMA, LHRM, CASC, owner, Ambulatory Strategies, Inc., and an executive vice president with ASD Management ...