The healthcare industry is experiencing a significant increase in Medicare Part A and Medicare Part B (Fee for Service) Medical Record Reviews by The Centers for Medicare and Medicaid Services (CMS). Typically, the process begins with an ...
The Quality Measure (QM) threshold changes that were scheduled for April 2020 were implemented in the April 2022 refresh.
In March 2019, CMS planned to update the ...
On April 28, 2022, the OIG issued the attached 61-page report that found Medicare Advantage Organizations denied and delayed services to beneficiaries that were covered under Medicare rules.Plans also denied payment to providers for services that...
