CMS-directed contract policy and technical updates went into effect on January 1st, 2024. For hospit...
We are in the midst of a sea-change in the relationship between hospitals and Medicare Advantage (MA...
My work as a Physician Advisor (PA) for Utilization Management (UM), has taken me across the country...
Hospitals and Health Systems are working on capturing social determinants of health data in efforts ...
The last several months have seen the resurgence of audits by CMS and commercial payers. One prime a...
Who is the "attending physician"? In the “old days,” the answer was straightforward. The attending p...
We can thank Alan Turing (British mathematician and logician) in the 1950’s for kicking-off Artifici...
The use of Artificial Intelligence (AI), in medicine has been in existence formally since the mid 19...
In day-to-day work as a Physician Advisor, we frequently encounter cases that are primarily due to, ...
While it is probably not on the top five worst things you can hear, being told you need a colonoscop...