Estimated savings are $75 million over a decade.
Federal officials recently announced a series of changes to the Medicare Advantage (MA) and Part D prescription drug programs they hope will save tens of millions of dollars and also allow beneficiaries to make more informed purchasing choices.
The ...
The data may allow you to better understand the intricacies of hospital payments.
When I teach Medicare regulations to physician advisors, case managers, and utilization review professionals, it is always interesting to see the reactions when I explain how Medicare calculates how much to pay for ...
CMS levies billions of dollars in overpayments a year against healthcare providers, based on the use of extrapolation audits.
The use of extrapolation in Medicare and private payer audits has been around for quite some time now. And lest you be of the opinion that extrapolation is not appropriate ...
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EDITOR’S NOTE: This is the first in a series of articles called “Cyber Watch,” produced by RACmonitor and authored by Edward Roche.
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