Critical Access Hospitals (CAHs) are different - well, at least for Medicare. Prospective payment systems like APCs and MS-DRGs are not used by CAHs. So does this mean that the RACs will not be ...

After pushback from prominent provider organizations, Aetna is easing a controversial "downcoding" policy for inpatient Medicare Advantage claims. The insurer said in an updated notice late last week ...

NEW YORK--(BUSINESS WIRE)--Nym, a leader in autonomous medical coding, today announced that it has added new capabilities to its revenue cycle management (RCM) solution, enabling hospitals and health ...

There are currently around 1,740 procedures on CMS’ inpatient only list, which is reviewed and updated annually. However, CMS proposed eliminating the inpatient only list in 2021 after years of ...