Archive for June 2026

Medicare claims pricing is a moving target. Rates update quarterly, payment rules update annually, and compliance expectations shift with every OIG report. The teams that stay accurate aren’t the ones with the best memory — they’re the ones with the best reference shelf. Here are the free resources we recommend every claims-pricing and compliance team…

Ask anyone who’s priced Medicare claims for more than one kind of facility and they’ll tell you the same thing: the hard part isn’t the math — it’s that the math changes completely depending on where the care was delivered. A knee replacement priced under the Inpatient Prospective Payment System looks nothing like the same…