 (1).webp)
CMS Halts Eight MIPS Improvement Activities for 2025: What Providers Need to Know
This decision, rooted in the Improvement Activities Suspension Policy finalized in the CY 2021 Physician Fee Schedule Final Rule, signals a possible shift in CMS’s long-term priorities for clinician performance evaluation. (1).webp)
Rethinking Risk Coding in 2025: Why Commercial Plans Are Redefining the HIM Playbook
Risk-adjusted payment is no longer just a Medicare Advantage concern—commercial insurers are reshaping how coding, documentation, and compliance strategies must evolve.
CMS Launches Aggressive Medicare Advantage Audit Strategy: What Providers Must Know
This move carries major implications for Medicare Advantage organizations, providers, and Health Information Management (HIM) professionals..webp)
CMS Proposes Major Overhaul to Readmission Penalties: What HIM Professionals Must Know
CMS is proposing five major changes that will significantly affect hospitals' readmission management strategies, requiring essential adjustments to prevent readmissions..webp)
Medicare Administrative Contractors: Oversight Shortfalls and Appeals System Flaws
The U.S. Department of Health and Human Services’ Office of Inspector General (OIG) recently published a critical audit report highlighting major compliance failures among Medicare Administrative Contractors..webp)