A bipartisan group of 152 House members wrote to the secretaries of Health and Human Services, Treasury and Labor and urged them to amend the interim final rule (IFR) that will implement the No...
The US Attorney’s Office for the Middle District of Pennsylvania announced that Geisinger Community Health Service (GCHS) reached an agreement to pay more than $18.5 million for...
The Texas Medical Association is taking action against a regulation slated to implement the No Surprises Act, a federal surprise billing law taking effect on January 1st.
The Association recently...
The American Medical Association (AMA) has updated the Current Procedural Terminology (CPT) code set to include a new code for COVID-19 vaccine booster doses of the vaccine created by Janssen...
The American Medical Association (AMA) is calling the latest in a series of surprise billing regulations “an undeserved gift to the insurance industry that will reduce [healthcare] options for...
The Biden-Harris Administration has released a long-awaited interim final rule that will explains how payers and providers will agree on an out-of-network rate when surprise billing occurs. The rule...
Midland Memorial Hospital agreed to pay over $555,000 for a medical coding error that resulted in claims being sent out for reimbursement from the government even though patients did not have a primary...
HHS and other federal departments have released a notice of proposed rulemaking (NPRM) that would impose civil monetary penalties of up to $10,000 on providers and facilities with surprise billing...
The American Medical Association (AMA) has announced updates to the Current Procedural Terminology (CPT) code set to account for changes to COVID-19 vaccines, including booster shots expected to...
Getting shots into arms has been a top priority for healthcare providers since the federal government gave the green light to several COVID-19 vaccines. But while speed was key for immunizers, medical...
A prohibition on surprise billing is coming at the start of next year and federal agencies have started to release what surprise billing compliance will look like. These new compliance requirements...
One in five privately insured families who had in-network deliveries in 2019 received surprise bills for childbirth or newborn hospitalizations, according to a study published in JAMA Health Forum....
Clinical documentation has come a long way since the days of paper medical records. Widespread adoption of EHR systems and now EHR optimizations have modernized the act of clinical documentation, and...
Several US departments, including HHS, have released much-anticipated surprise billing regulations to implement the No Surprises Act, a law passed last year that aims to protect patients from...
With new details on implementation of the No Surprises Act slated to come in early July, the Federation of American Hospitals (FAH) has offered several suggestions for combatting surprise billing to...
Many of the top hospitals in America use predatory patient billing practices, and new data from Johns Hopkins University (JHU) is ranking these hospitals based on their use of these tactics.
The JHU...
CMS has raised the Medicare payment rate for certain COVID-19 antibody infusions and included a new payment policy for at-home administration, which will have a higher payment rate compared to other...
The American Medical Association (AMA) has created unique Current Procedural Terminology (CPT) codes for the Novavax COVID-19 vaccine and its administration.
The vaccine from Novavax Inc. has yet...
The University of Virginia Health System (UVA Health) will drop all lawsuits against lower-income individuals after years of suing patients for outstanding patient financial responsibility.
In a...
Healthcare providers should not charge or balance bill patients for getting the COVID-19 vaccine, the Office of Inspector General (OIG) at HHS recently warned.
In an April 15th message, the federal...
