CMS Wants to Know Who’s Actually Watching.
Buried in the CY2027 Part B provisions: RPM and RTM would have to be furnished.
Read More CMS’s Fraud AI Doesn’t Know the Difference.
CMS's Fraud Defense Operations Center flags volatility — billing that moves faster than the baseline..
Read More CMS Quietly Put One Office in Charge.
CMS created the Office of Health Technology and Products in a four-page Federal Register notice..
Read More Everyone’s Mad About the Conversion Factor Cut..
The CY2027 Physician Fee Schedule headline is the conversion factor cut. The G2211 modifier swap.
Read More The Senate Just Settled One WISeR Fight..
From 1 October, RHCs and FQHCs can no longer bill telehealth under G2025. It touches.
Read More Everyone’s Still Fighting Over WISeR’s Funding. Almost.
Gold-carding went live in Washington on 6 July. It is not a courtesy exemption —.
Read More Everyone Covered the WISeR Vote. Almost Nobody.
The Senate vote on WISeR was theatre. The July 1 Medicare Advantage decision clock —.
Read More The Denial Rate You Reported Isn’t the.
Payers now publish their own prior-auth metrics. The data is aggregated to the point of.
Read More The Rule Worked. Denials Still Went Up.
Denial rates are up 31% year over year, six months into the rule meant to.
Read More Faster Prior Auth Is the Law Now..
CMS's prior authorisation rule is already live in part, with electronic prior-auth APIs due January.
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