Health care leaders have long relied on return on investment to guide staffing models, service lines and technology purchases. Increasingly, however, executives and governing boards are recognizing the impact of a failure to remember another important factor: the...
Month: July 2026
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The high cost of inaccurate coding: How CMS is recouping Medicare Advantage overpayments
Medicare Advantage plans remain under scrutiny as the Centers for Medicare and Medicaid Services (CMS) continues an aggressive strategy to identify and recoup overpayments tied to risk adjustment practices. Current CMS Administrator Dr. Mehmet Oz has doubled down on...
The ripple effect: How a Texas board complaint can threaten your DEA registration
A Texas Medical Board (TMB) complaint can feel like a state level problem with a state level solution. In reality, it often has federal consequences. Physicians, advanced practice providers and pharmacists sometimes learn too late that a TMB investigation can become...

