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Streamlining Compliance with the No Surprises Act Understand Provider-Payer Responsibilities The No Surprises Act (NSA) is a new law that protects patients from unexpected medical costs. It was enacted in 2021 and came into enforcement in 2022. It has two...
Streamlining Compliance with the No Surprises Act Understand Provider-Payer Responsibilities The No Surprises Act (NSA) is a new law that protects patients from unexpected medical costs. It was enacted in 2021 and came into enforcement in 2022. It has two...
Root Cause to Revenue: Winning the Battle Against DRG Downgrades 07.29.2026 11:00 AM PT Executive Vice President Vice President, Denials Management ServicesHospitals and health systems face mounting revenue challenges from denials to evolving payer tactics, making...
CMS Contract Year 2027 Medicare Advantage Final Rule Updates (CMS-4208-F3/CMS-4212-F) Overview On April 2, 2026, CMS released the Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare...
Hospitals Race to Keep Pace as Payers and AI Reshape Denials Hospitals Race to Keep Pace as Payers and AI Reshape Denials Denials have become one of the defining pressure points in healthcare finance. Across hospitals and health systems, claims teams are balancing...
