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Providers request more time to review prior authorization rule changes
The Medicaid and CHIP Payment and Access Commission, known as MACPAC, sent a letter to CMS Administrator Seema Verma saying healthcare providers need more time to review the agency's proposed rule to... Read More
Provider-friendly surprise billing fix, more funds for hospitals in year-end spending bill
If passed, the massive package includes another round of direct payments to individuals, loans for small businesses and enhanced unemployment benefits. It doesn't include liability protections for... Read More
HHS Proposes Modifications to the HIPAA Privacy Rule to Empower Patients, Improve Coordinated Care, and Reduce Regulatory Burdens
Today, the Office for Civil Rights (OCR) at the U.S. Department of Health and Human Services (HHS) announces proposed changes to the Health Insurance Portability and Accountability Act (HIPAA)... Read More
Bipartisan fix for 'surprise' medical bills hits roadblock with powerful chairman
A broad bipartisan effort to pass legislation protecting patients from massive “surprise” medical bills is now on life support as House Ways and Means Committee Chairman Richard Neal (D-Mass.) digs... Read More
CMS Announces New Model to Advance Regional Value-Based Care in Medicare
On December 3rd the Centers for Medicare & Medicaid Services announced a new and transformative voluntary payment model that builds on CMS’ focus to deliver Medicare beneficiaries value through... Read More
Could COVID-19 accelerate improvements in mental and behavioral health?
By Ralph Judah, managing director, health care global markets, and David Rabinowitz, senior manager, Deloitte Consulting LLP The COVID-19 pandemic has both highlighted and worsened the world’s... Read More
CMS Takes Steps to Ensure Medicare Beneficiaries Have Wide Access to COVID-19 Antibody Treatment
The Centers for Medicare & Medicaid Services announced that starting today, Medicare beneficiaries can receive coverage of monoclonal antibodies to treat coronavirus disease 2019 (COVID-19) with no... Read More
A big deal’: CMS pilot puts onus on ordering providers to support necessity of radiology services
Imaging industry advocates are praising a new pilot process from CMS that puts the onus on ordering providers to help defend the medical necessity of radiology services. The Centers for Medicare... Read More
Preventative, elective care plummet nationwide amid pandemic, including drops in mammography, MRI
The use of preventative and elective care services—including MRI and mammography—plummeted nationwide during the first two months of the pandemic, according to a new study released Thursday.... Read More
Best Practices When Outsourcing Revenue Cycle Management
Providers are facing one of the worst economic crises of modern times. Outsourcing full revenue cycle management to a third party could help some cut costs while focusing on patient care. Mission... Read More