There is currently a bill in Congress to raise the caps by 17,000. When I was just a young cub in healthcare, Medicare performed audits of all teaching hospitals. These audits were designed to create rates to remove the “passthrough” rates for the last big item still paid under cost reimbursement: ...

Physicians and their organizations can expect to see significant changes to the PFS, QPP, and OPPS regulations. The Centers for Medicare & Medicaid Services (CMS) issued key proposed rules related to Medicare payment for the 2022 calendar year (CY) recently. These rules propose important payment ...

Medical practices are leaving money on the table by under-coding. Are one or more of your physicians under-coding? Missing revenue? Or relying too much on COVID-related funding?These are valid questions, as medical practices are getting back to pre-pandemic levels of care and encounters. ...