3/31/2023 8:22:26 PM Proposed legislation to tackle Medicare Advantage upcoding in response to overpayment concerns By Scot T. Hasselman Nicole Aiken-Shaban Ellen Pighini On March 27, 2023, two United States Senators, Bill Cassidy, MD (R-LA) and Jeff Merkley (D-OR) introduced the bipartisan No Unreasonable...
3/17/2023 9:51:24 PM MACs Consider Guidance on Remote Patient Monitoring Amid Exploding Utilization By Nancy Halstead Lauren Bentlage Sebnem Dugmeoglu On February 28, 2023, six of the seven Medicare Administrative Contractors (MACs), who administer Medicare reimbursement on behalf of the...
3/9/2023 7:20:48 PM OIG allows drug company to provide free medication during coverage determination delay By Ellen Pighini On February 28, 2023, the Department of Health and Human Services’ Office of Inspector General (“OIG”) issued a favorable advisory...