2023 Third Party Payer Day

Join us for “Third Party Payer Day,” a highly anticipated event sponsored by Rivet Health [...]

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 [...]

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 [...]

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 [...]

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 [...]

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 [...]

The OIG brings teeth to hospital price transparency

When it comes to hospital price transparency, CMS has thus far been ‘all bark and [...]

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 & [...]

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 [...]

FY 2023 inpatient rehabilitation facility PPS final rule ushers in updated Medicare policies that will yield higher payments

Inpatient rehabilitation facilities (IRF) will see updated Medicare payment policies thanks to the FY 2023 [...]