Insights
Notes on reimbursement, audits, coding, and the rules that move a healthcare revenue cycle.
August 8, 2025
In a significant healthcare enforcement development, Premier Dental Holdings, Inc., doing business as Sonrava Health, along with several affiliated dental management and service organizations,…
Read article
July 16, 2025
Discover how to overturn insurance denials with winning appeal strategies at the DENIAL$ TO DOLLARS: WRITING A WINNING APPEAL® event. Learn from well-known reimbursement attorney Joe Rivet, Esq.,…
Read article
July 15, 2025
Learn how to write a strong physician medical claim appeal letter that improves reimbursement success. Discover key elements, expert tips, and must-include details. Denied medical claims cost…
Read article
July 14, 2025
The Centers for Medicare & Medicaid Services (CMS) has released the highly anticipated CY 2026 Medicare Physician Fee Schedule (MPFS) proposed rule. This sweeping proposal, spanning over 1,800…
Read article
July 12, 2025
The Centers for Medicare & Medicaid Services (CMS) has released the CY 2026 Medicare Physician Fee Schedule (MPFS) proposed rule, and it’s packed with telehealth policy updates that reflect the…
Read article
July 10, 2025
Announcement of the DOJ-HHS False Claims Act Working Group to combat healthcare fraud and abuse through enhanced collaboration between the Department of Justice and Department of Health and Human…
Read article
July 9, 2025
Dr. Sophie Toya, 56, of Bloomfield Hills, Michigan, was sentenced to four years in prison for a $6.3 million Medicare fraud scheme involving unnecessary orthotic braces prescribed to elderly and…
Read article
July 1, 2025
Kenia Valle Boza, a certified coder who worked at Pasteur Medical Center and later HealthSun Health Plans, allegedly participated in a scheme to fraudulently increase Medicare payments by: Falsely…
Read article
February 24, 2025
Thursday, April 10th | 12 PM – 2 PM ET $199/attendee [button size=”medium” style=”primary” text=”Register Here” link=”https://rivethealthlaw.regfox.com/virtual-appeal-writing-workshop” target=””]…
Read articleThis page is educational. It is not legal advice and does not create an attorney-client relationship. Facts, contracts, and appeal windows control the next step.
