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Bulletin 17 – CMS 2023 OPPS & ASC Final Rule

On November 1, 2022, CMS released the CY 2023 Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center Payment System (ASC) Final Rule with Comment Period (CMS–1772–FC), with the official Federal Register publication scheduled to occur on November 23, 2022. The comment period for the Final Rule will remain open until January 1, 2023.

Are Providers Ready for the No Surprises Act?
Are Providers Ready for the No Surprises Act?

Article originally published on Beckerspayer.com Monday, December 12th, 2022  Are Providers Ready for the No Surprises Act?   The No Surprises Act (NSA) had several top stories from 2022 including the recent Department of Health and Human Services...

Aergo Solutions Joins CorroHealth
Aergo Solutions Joins CorroHealth

ISELIN, N.J., May 25, 2022 /PRNewswire/ — Aergo Solutions, backed by Northstar Capital, has joined CorroHealth. The acquisition by CorroHealth, backed by The Carlyle Group, expands targeted RCM service offerings to the market.

Aergo Solutions Joins CorroHealth
ParaRev Joins CorroHealth

CHICAGO–(BUSINESS WIRE)–ParaRev, a leader in healthcare accounts receivable (AR) recovery and resolution management, has joined CorroHealth. Backed by Housatonic Partners, a San Francisco and Boston-based private equity firm, ParaRev was acquired by CorroHealth, backed by The Carlyle Group, to expand targeted RCM service offerings to the market.

Bulletin 14 – CMS updates to MCPM Ch. 30

CMS Issues Update to the Medicare Claims Processing Manual Chapter 30 Section 200: Financial Liability Protections Overview On January 21, 2022, CMS released a Medicare Learning Matters (MLN) announcing a change request (CR 12546), resulting in substantial edits to...

Bulletin 13 – OPPS

Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Final Rule Overview On November 2, 2021, CMS released the anticipated CY 2022 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center...

Bulletin 17 – CMS 2023 OPPS & ASC Final Rule

On November 1, 2022, CMS released the CY 2023 Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center Payment System (ASC) Final Rule with Comment Period (CMS–1772–FC), with the official Federal Register publication scheduled to occur on November 23, 2022. The comment period for the Final Rule will remain open until January 1, 2023.

Are Providers Ready for the No Surprises Act?
Are Providers Ready for the No Surprises Act?

Article originally published on Beckerspayer.com Monday, December 12th, 2022  Are Providers Ready for the No Surprises Act?   The No Surprises Act (NSA) had several top stories from 2022 including the recent Department of Health and Human Services...

Bulletin 16 – CMS 2023 IPPS & LTCH Final Rule

On August 1, 2022, CMS released the FY 2023 Hospital Inpatient Prospective Payment System (IPPS) and Long Term Care Hospitals (LTCH PPS) Final Rule (CMS–1771–F), which was finalized and became effective on November 1, 2022.

Aergo Solutions Joins CorroHealth
Aergo Solutions Joins CorroHealth

ISELIN, N.J., May 25, 2022 /PRNewswire/ — Aergo Solutions, backed by Northstar Capital, has joined CorroHealth. The acquisition by CorroHealth, backed by The Carlyle Group, expands targeted RCM service offerings to the market.

Aergo Solutions Joins CorroHealth
ParaRev Joins CorroHealth

CHICAGO–(BUSINESS WIRE)–ParaRev, a leader in healthcare accounts receivable (AR) recovery and resolution management, has joined CorroHealth. Backed by Housatonic Partners, a San Francisco and Boston-based private equity firm, ParaRev was acquired by CorroHealth, backed by The Carlyle Group, to expand targeted RCM service offerings to the market.

Bulletin 14 – CMS updates to MCPM Ch. 30

CMS Issues Update to the Medicare Claims Processing Manual Chapter 30 Section 200: Financial Liability Protections Overview On January 21, 2022, CMS released a Medicare Learning Matters (MLN) announcing a change request (CR 12546), resulting in substantial edits to...

Bulletin 13 – OPPS

Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Final Rule Overview On November 2, 2021, CMS released the anticipated CY 2022 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center...

Don’t Use Denial Rate to Measure a Payer’s Performance
Don’t Use Denial Rate to Measure a Payer’s Performance

By Jerilyn Morrissey, MD Regardless of who your team reports to on the organization chart, there is no getting around the fact that Utilization Management (UM) is part of the clinical revenue cycle of your organization. Embracing that concept may challenge your...

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Why Hospitals Are Moving Beyond Reactive Appeals to a Strategic Offense
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Why Hospitals Are Moving Beyond Reactive Appeals to a Strategic OffenseHospitals spend billions of dollars each year fighting claim denials, but the volume keeps climbing. For many leaders, the reflex is to add more staff, more metrics and more appeals in a race to...

How Payers Keep Denials Rates High, and What to Do About it
How Payers Keep Denials Rates High, and What to Do About it

Level the Playing Field: How Payers Keep Denial Rates High, and What to Do About itMore than 25 years ago, on a day like any other, when Dr. Jerilyn Morrissey (now Chief Medical Officer at CorroHealth) was just a new physician and documentation was a pen-to-paper...

Regulatory Bulletin: November 2025 WISeR Model
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WISeR (Wasteful and Inappropriate Service Reduction) Model November 2025 Overview CMS has the responsibility to protect the Medicare Trust Funds, and routinely analyzes data associated with all facets of the Medicare program. A 2020 analysis of claims submitted by...