The Local Coverage Determinations (LCDs) that will directly impact the application and documentation of cellular tissue products (CTPs, aka Skin Subs) have been postponed until January 1, 2026! This postponement came at the last minute, as the LCD was scheduled to go...
Here’s another fantastic post from attorney Knicole Emanuel about the serious overreach problems inside the alphabet soup of Medicare audits. This is an issue that will get even more problematic due to the delay of the “skin substitute” LCD(s). Some auditors are...
A 2/26 article in Chief Healthcare Executive entitled “Hospitals, providers spent $25B on battles over claims, report finds” (it’s free) reports, “Hospitals and other providers are spending a lot more money in battles over insurers over paying claims,...
Check out Knicole Emanuel’s recent blog post about CMS monetary recoupment before full adjudication. The Centers for Medicare and Medicaid Services (CMS) has the authority to recoup alleged overpayments from healthcare providers before the full adjudication of an...
Check out another insightful blog by healthcare attorney Knicole Emanuel, “Trump’s Deregulations…But Not in Health Care Fraud Detection!”. Her assessment is that, while the Trump Administration may be reducing the regulatory burden in many areas of...
