Chicago Teachers Union President Stacy Davis Gates is taking a temporary medical leave, according to a union spokesperson, as ...

The agency quietly released a memo updating MA plans on how it’s approaching risk adjustment data validation audits after a ...

CMS says Medicare Advantage overpayment recoveries will begin soon, prioritizing audits from 2018 to 2024 and expanding medical coder support.

Add Yahoo as a preferred source to see more of our stories on Google. EMT and medical student Jamey Sharp speaks at a press conference about protocols for ICE encounters at medical centers Tuesday, ...

A third-party audit of the Minnesota Department of Human Services identified more than $1 billion in Medicaid funding that ...

The state of California is auditing 428 of its public schools because more than 10% of their kindergartners or seventh grade ...

Penalty for delayed filing of tax audit report was quashed after illness of the managing director was proved. The tribunal held that medical incapacity constituted reasonable cause under Section ...

Hospitals are facing a steady rise in payment disputes over their assignment of a Diagnosis Related Group (DRG). These disputes fall into two ...

Medical coding no longer lives quietly behind the scenes. Today, it sits at the crossroads of money, compliance, and patient trust. Every number entered and modifier applied can shape what happens ...

Last year, the Centers for Medicare & Medicaid Services (CMS) made changes to its reporting rules, Section 111, specifically as it relates to ...

Medicare Advantage health plans are blasting a government proposal this week that would keep their reimbursement rates flat next year while making other payment changes. But some health policy experts ...