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Appeals

Updates on Peer-to-Peers, Patient Notices, and Post-Acute Care

You are probably aware that many Medicare Advantage (MA) plans are claiming that due to new rules issued by the Centers for Medicare & Medicaid Services (CMS), they are unable to allow peer-to-peer (P2P) discussions. Well, I asked CMS if this is true, and they

Ronald Hirsch, MD, FACP, ACPA-C, CHCQM, CHRI February 4, 2026

Billing

Docs Take a Hit: What is CMS Signaling About Physician Work Valuation

For nearly a decade after the late-2000s Centers for Medicare & Medicaid Services (CMS) policy changes, work Relative Value Units (RVUs) felt like a stable

Frank Cohen, MPA February 4, 2026

False Claims Act

When to Speak Up and Speak Out

Directly contradicting another person can carry the potential to feel antagonistic or rude. But in the realm of compliance, it’s also often necessary. Rules are

David M. Glaser, Esq. February 4, 2026