Explore what CMS’s newly released Part A, Part B, and Part D updates mean for patient affordability, utilization trends, and practice revenue — plus expert insights on how proactive RCM strategy protects your bottom line.
A deep dive into the real-world challenges of Medicare and Medicaid audits — from complex appeal structures to the financial pressures driving providers away from treating publicly insured patients. Learn the differences, the risks, and the changes providers need now.
With CMS expediting Risk Adjustment Data Validation audits — and retroactively reviewing multiple plan years at once — Medicare Advantage organizations must move from reactive cleanup to proactive integrity in coding, documentation, and data governance.
Despite viral claims that physicians won’t get paid during the shutdown, most Medicare payments continue—except where Congress has let key funding provisions lapse.
CMS’s 2025 Physician Fee Schedule brings new HCPCS codes for FDA-cleared digital mental health treatment devices—defining clear billing pathways for a rapidly growing field.
Risk adjustment is more than numbers—it’s about representing every patient’s story accurately. Discover how coders can bridge data gaps, improve care quality, and strengthen organizational performance.