On April 4, 2025, the Centers for Medicare & Medicaid Services (CMS) issued the Medicare Advantage & Part D Final Rule for the 2026 contract year (CY) concerning the Medicare Advantage (MA) program, the Medicare Prescription Drug Benefit Program (Part D), the Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly (the […]
The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) is intensifying its oversight of Medicare expenditures and billing practices through focused audits across three crucial domains, a move that can be summarized as OIG Intensifies Medicare Audits. These reviews are strategically designed to fortify Medicare’s fiscal soundness and guarantee the […]
Effective insurance billing is crucial for the financial health of any medical practice, whether primary care, specialized, or integrative. Inefficient billing leads to significant revenue loss, with claim denial rates exceeding 15% and surging nearly 17% since 2019. To mitigate these losses, providers must prioritize robust billing processes. As a medical billing service, we’ve identified […]