Author Archives: Joseph Rivet
Empowering Seamless Dispute Resolution: Unveiling the No Surprises Act (NSA) IDR Fee Resolution
IDR Fees Revitalizing Dispute Resolution: Unveiling the Reshaped Landscape In the ever-evolving landscape of dispute resolution, [...]
Aug
2023 Third Party Payer Day
Join us for “Third Party Payer Day,” a highly anticipated event sponsored by Rivet Health [...]
Jul
Major Changes to the Medicare Claims Processing Manual, Ch. 12
CMS issued Transmittal 11842 which brings about some significant changes to the manual. CMS is revising the [...]
Feb
What You Need to Know About Good Faith Estimates for Sliding Fee Discounts
Good Faith Estimates How do you comply with the No Surprises Act’s Good Faith Estimate [...]
Feb
What You Need to Know About the 2023 Medicare Physician Fee Schedule Final Rule
Here are the highlights of the Centers for Medicare & Medicaid Services (CMS) updates and [...]
Nov
Facilitating 12,000 false claims costs chiropractor more than $15 million
Facilitating 12,000 false claims costs chiropractor more than $15 million We’ve all heard the admonition [...]
Nov
The No Surprises Act – Partial Final Rule Effective October 25, 2022
In July 2021, the U.S. Departments of Treasury, Labor, and Health and Human Services [the [...]
Nov
The OIG brings teeth to hospital price transparency
When it comes to hospital price transparency, CMS has thus far been ‘all bark and [...]
Sep
CMS releases the FY 2023 hospital inpatient prospective payment system final rule
It’s that time of year again. On August 1, 2022, the Centers for Medicare & [...]
Aug
FY 2023 hospice payment rate update final rule solidifies payment increase and commitment to new patient assessment instrument
Beginning in FY 2023, hospice providers will see a payment increase of 3.8%, according to [...]
Jul