couple discussing a bill

CMS Releases No Surprises Act – Part II

5. The “No Surprises Act”, incorporated into the Consolidated Appropriations Act of 2021, becomes effective on January 1, 2022. Part 2 of the regulation was recently issued.

Female doctor looking at patient in a CT scanner

Appropriate Use Compliance Deadline Delayed

The AUC program, designed to decrease the number of inappropriate advanced diagnostic imaging services, has new requirements including eight new modifiers.

hand holding magnifying glass showing 'claim denied'

5 Steps to Uncovering Lost Revenue – Taking Control of your Denials

Even before the pandemic, insurance denials were a major and costly problem in healthcare. Finding ways to reduce denials and ensure you’re paid every dollar you’re entitled to has never been more important.

computer generated image of Covid-19 virus in tube lined with 0s and 1s

Billing for COVID-19: Updated September 22

The COVID-19 pandemic continues to cause extreme financial hardship for hospitals, health systems and all providers. Falling operating margins and increasing denials make it even more important to stay abreast of regulatory changes regarding COVID-19.

CMS Raises the Stakes on Price Transparency Compliance: issues new civil monetary penalties

Due to widespread noncompliance with the Health Care Transparency Act, CMS has launched proactive audits of hospital websites. Warning letters are being sent and monetary penalties may be administered