American Renal, Former Execs Charged with Healthcare Fraud Scheme
The Securities and Exchange Commission (SEC) has charged the nationwide dialysis service provider American Renal Associates Holdings of engaging in a healthcare fraud scheme involving revenue...Hospital Groups Want Congress to Delay 2% Medicare Sequester Cuts
UPDATE 12/03/2021: Congress passed a continuing resolution Thursday night, averting a government shutdown. However, it did not address pending cuts to Medicare reimbursement for hospitals and...Private Equity-Backed Air Ambulances Major Culprit of Surprise Bills
Prior to The No Surprise Act, many air ambulance rides left patients at risk for receiving a surprise bill, according to a USC- Brookings Schaeffer Study. The air ambulance market has...MGMA Calls on Congress to Prevent Impending Medicare Cuts
The Medical Group Management Association (MGMA) wrote to the Ways and Means Committee and requested a hearing to prevent the imminent Medicare cuts described in the Physician Fee Schedule final rule...CMS Rescinds Rule Expediting Medicare Coverage of Breakthrough Devices
CMS has officially rescinded a final rule published by the Trump Administration that would have expedited the Medicare coverage process for breakthrough devices. The agency said it will take a...Out-of-Pocket Costs Less When Hospitals Don’t Bill Insurance
A study shows that patients with high deductible plans can save money on out-of-pocket costs by not going through their insurance and paying a reduced cash price. Hospitals must now publish their...40% of Charges for COVID-19 Services Initially Ended in Claim Denials
Providers are having a difficult time billing for services related to COVID-19, with 40 precent of charges for coronavirus-related care initially winding up as claim denials in the first 10 months of...CMS Updates End-Stage Renal Disease APM, PPS to Address Health Equity
UPDATED CMS has made changes to the End-Stage Renal Disease (ESRD) alternative payment model, ESRD Treatment Choices, to directly address health equity. The ESRD Treatment Choices (ETC) Model is...Sponsored by Brault
