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2024 Final Rule: CMS Announces More Changes to Medicare Advantage but Declines to Reform the “60 Day Rule”

Health Care Law Brief

On April 5, the Centers for Medicare & Medicaid Services (“CMS”) released the 2024 Medicare Advantage and Prescription Drug Benefit Programs Final Rule (“Final Rule”), which will be codified at 42 C.F.R. The SRFs include low-income subsidy, dual eligibility (meaning eligible for Medicare and Medicaid) and disability.

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Part 3: Audit Documentation to Avoid Potential Appeal Consequences

AIHC

Providers may take documentation “short cuts” or feel overwhelmed with implementation of a new EMR (electronic medical record) system and clone or make documentation errors. It can result in a situation where insurance opens an investigation or decides to initiate periodic audits on your claims and records.

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Health Provider News – October 7, 2022

Hall Render

After court ruling for AHA in 340B case, HHS says it will start adjusting payment rates for certain 340B hospitals within approximately two weeks. Congress gives rural hospitals a reprieve, for now. Hospital leaders meet at White House to talk ‘twindemic’ strategies. Is the doctor’s office heading for extinction?