Resources

Evergreen articles on healthcare law topics—compliance, reimbursement, licensing, transactions, and risk management—written to help providers and organizations understand key concepts. These posts are meant to stay useful over time and support informed decisions; they are educational, not a substitute for counsel on your matter.

Medicare Advantage SNF denials (OIG OEI-09-24-00331)
Resources
Medicare Advantage SNF denials (OIG OEI-09-24-00331)

An OIG report found Medicare Advantage plans overturned nearly all appealed prior-authorization denials for SNF admission. If your SNF faces MA denials, appealing often works.

Medicare Payment Suspensions: What Texas Healthcare Providers Should Know
Resources
Medicare Payment Suspensions: What Texas Healthcare Providers Should Know

A Medicare payment suspension can stop cash flow overnight. This guide explains common triggers, the difference between suspension and recoupment, and first steps Texas providers should take.