Texas Judge Vacates No Surprises IDR Fee Increase, Batching Rule

Kathryn Beard, JDAugust 9, 2023

Disclaimer: This information is for educational purposes only and is current as of August 8, 2023. Not intended to be used as or constitute legal or medical advice.  

 

Read More

A Post-Mortem on Medical Necessity Criteria – Not So Fast

Dr. Ronald HirschFebruary 24, 2023

The proposal from the Centers for Medicare & Medicaid Services to codify the requirement that all Medicare Advantage plans use the Two-Midnight Rule for determining admission status of all patients has some talking that the use of commercial criteria will become obsolete. ...

Read More

RACMonitor: When Does a Patient Become an Inpatient?

Dr. Ronald HirschApril 8, 2022

With Medicare regulations, there appears to be no right answer.

Read More

CMSA: Advocacy – Getting Involved and Making a Difference

Dr. Ronald HirschFebruary 27, 2022

Every single day each one of us makes a difference in our work. Whether it is arranging home durable medical equipment, setting up a patient appointment with a physician, helping a patient with a POLST, or arranging meal delivery, your work helps that patient. You do it day in and day out. And sometimes you probably look at your work and think ...

Read More

Court Vacates No Surprises Act Regulations Favoring Payors in Reimbursement Disputes

Kathryn Beard, JDFebruary 25, 2022

On February 23, 2022, a Texas district court found that portions of the No Surprises Act ...

Read More

RACMonitor: CMS Updates Important Message from Medicare Instructions

Dr. Ronald HirschJanuary 25, 2022

The changes will become effective in about three months, giving providers time to modify processes.

Read More

RACMonitor: CMS Pushes Forward with Guidance on Alzheimer’s Drug

Dr. Ronald HirschJanuary 20, 2022

Clinical trials for the medication showed no significant improvement in patients.

Read More

ICD10monitor: Malnutrition Now on PEPPER

Dr. Ronald HirschDecember 20, 2021

Auditors appear to be hungry to deny.

Read More

RACMonitor: Terminology Matters – Site of Service and Status

Dr. Ronald HirschDecember 9, 2021

Sudden reversals from CMS on the Inpatient-Only List and Ambulatory Surgical Center Covered Procedures List have infused confusion into the payment process for providers.

Read More

RACMonitor: To Practice or Not to Practice – The Physician Question

Dr. Ronald HirschNovember 30, 2021

To be a full-time physician advisor, an individual must give up their regular clinical medical practice.

Read More

Media Inquiries

312-255-7786

media@r1rcm.com

\