Elevance senior executive fights DOJ deposition bid in Medicare Advantage fraud case tied to diagnosis code submissions from 2012 to 2015.
New York, United States — May 8, 2026 — RAAPID INC launched a unified Risk Adjustment Platform designed to integrate clinical documentation, coding, quality assurance, audit management, and evidence ...
Bigger payment boost: CMS finalized a 5.06% Medicare Advantage payment increase for 2026, up from 2.23% in the proposal, totaling over $25 billion. New risk model: The V28 risk adjustment model takes ...
Providers regularly make four coding mistakes that draw scrutiny from regulators and auditors, a long-time compliance expert warned Wednesday.
The Centers for Medicare & Medicaid Services announced May 6 that it will provide access to certain glucagon-like peptide-1 ...
Starting in July, Medicare beneficiaries may be able to get a GLP-1 prescription for weight loss for $50 a month. It's a ...
Objectives Body mass index (BMI) confers a higher risk of colorectal cancer (CRC) and may influence cancer diagnostic ...
The Centers for Medicare & Medicaid Services (“CMS”) recently published its proposed payment rules for general acute care ...
WASHINGTON — For decades, politicians have blamed the country’s biggest doctor lobby for some of the health care systems ...
Cold-related illnesses (CRIs) are preventable yet often deadly. Using twenty-five years of data from the National Inpatient ...
Judge Shields Anthem Deposition Prep Talks in Medicare Fraud Case, Denies Government Request NEW YORK, NY — A federal judge ...
A routine admission in May can suddenly look more expensive than expected, even when nothing obvious changes about the care ...
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