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06/02/2025
Heads up: While President Trump continues to alter the tariffs he announced in February, it’s likely that some of your equipment prices will be affected, and you should prepare for cost fluctuations.
06/02/2025
A white paper, press release, and interview with the new director of CMS’ Center for Medicare and Medicaid Innovation (CMMI) suggest significant changes to innovation and accountable care models such as the Medicare Shared Savings Program (MSSP) and to Medicare Advantage.
06/02/2025
A trio of recent enforcement actions related to corporate integrity agreements (CIA) contains teachable moments for small groups and solo provider practices.
06/02/2025
CMS determined the improper payment rate for bacterial culture lab tests was 15.1% in 2023, with a projected improper payment amount of $9.6 million. Insufficient documentation accounted for 100% of improper payments for these tests during this reporting period, according to the agency.
06/02/2025
Most high-utilization psychiatry codes revealed symptoms of the COVID-19 slump that hit other services. However, denials for many services increased after a dip in 2020. A review of Medicare Part B data for the years 2019 to 2023 identified several top primary psychiatry codes.

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