On December 6th, CMS released the proposed rule outlining systematized prior authorization pathways for healthcare services rendered by providers and hospitals. The proposed rule outlines
Remember 2019? Congress passed a huge piece of legislation called the Setting Every Community Up for Retirement Enhancement Act of 2019. It became known as
In 2017, in an effort to prevent “frivolous” lawsuits, the Commonwealth of Kentucky’s General Assembly passed the Medical Review Panel Act (MRP). The Act created
Have you looked at your investment portfolio lately? I dare say that many of you don’t even want to go there. Rest assured that you
Privacy is paramount for all patient records. Restrictions on how treatment records can be used and disclosed are more stringent, however, when it comes to
Changes to in-patient evaluation and management (E & M) service codes for 2023 are coming. The changes will be effective January 1, 2023. These changes
About a month ago, while visiting our college student in Chicago, my wife and I took a stroll down Michigan Avenue (one of my hobbies
They’re a core part of the ACA – but are they unconstitutional? On September 7, 2022, the U.S. District Court for the Northern District of
As the bridge between the clinical and business side of healthcare, the RCM process is awash with metrics that can help administrators get the most
I am sure that it goes without saying, but I will say it anyway: On so many fronts these are challenging times that we live