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Whether you have a question on a cost report, audit or any other financial or reimbursement-related question or concern, LeadingAge Wisconsin's expert… More...
With final Medicaid rates still months away, how best to budget in the meantime? Estimating rates is complex, with many factors yet unknown. LeadingAg… More...
A House committee advanced a healthcare transparency package that includes major Medicare Advantage reforms focused on prior authorization and plan ac… More...
A bipartisan Senate inquiry is demanding answers from three major Medicare Advantage plans over prior authorization denials for post-acute care and SN… More...
WI Direct Care Workforce payments are set for July 3, with minor delays possible for some providers. Meanwhile, a proposed CMS rule could reshape fund… More...
OIG reports 12% of SNF prior authorization requests denied by Medicare Advantage plans, with 95% of appealed denials overturned — signaling widespread… More...
LeadingAge Wisconsin is monitoring ongoing contract negotiations between HealthDirect and United Healthcare and working to ensure uninterrupted pharma… More...
Dr. Kari Everson details known, significant issues affecting the Payroll-Based Journal (PBJ) submission system in May 2026. Many facilities are experi… More...
CMS is pressing states to swiftly revalidate high-risk Medicaid providers, setting tight deadlines and signaling that failure to act could factor into… More...
LeadingAge Wisconsin members headed to Washington, DC to learn, lead, and advocate—bringing workforce and Medicare priorities to Capitol Hill while ma… More...
DHS is reviewing 2025 audits and now requiring corrected resubmissions. Plus, key updates on 2024 audit reimbursements and an important WINHRS portal … More...
As DHS considers its next contracts with Family Care Managed Care Organizations (MCOs), LeadingAge Wisconsin relates members' operational, billing and… More...
From Rob Schlicht, Director at Wipfli and interim finance consultant for LeadingAge Wisconsin More...
