HHS has extended enforcement discretion for the delivery of some good faith estimates (GFEs) under the No Surprises Act, according to new guidance.
The guidance released by HHS on Friday says that CMS...
HHS has proposed revisions to the 2020 final rule on the 340B Administrative Dispute Resolution (ADR) process to modify policy and operational challenges.
The ADR process in the 340B Drug Pricing...
Leaders of the House Committee on Ways and Means have voiced concerns that the final surprise billing rule on the independent dispute resolution (IDR) process continues to violate the No Surprises...
New York Governor Kathy Hochul has signed legislation aiming to protect patients with medical debt from facing wage garnishment or liens on their property.
“No one should face the threat of...
The Health Resources and Services Administration (HRSA) has opened the Provider Relief Fund (PRF) portal to allow late reporting from healthcare providers on how they used PRF payments.
The portal is...
UPDATED 11/02/2022: CMS has released the Calendar Year (CY) 2023 Physician Fee Schedule (PFS) final rule, which will reduce the conversion factor while expanding access to behavioral health and...
UPDATED 11/02/2022 at 10:00 AM EST: The Calendar Year (CY) 2023 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System final rule from CMS has...
CMS has finalized a 3.1 percent increase in Medicare reimbursement for end-stage renal disease (ESRD) facilities in the Calendar Year (CY) 2023 ESRD Prospective Payment System (PPS) final...
Home health agencies will receive a 0.7 percent Medicare payment boost under the calendar year (CY) 2023 Home Health Prospective Payment System (HH PPS) Rate Update final rule, translating to an extra...
As the 117th Congress nears the end of its session, the Federation of American Hospitals (FAH) has called upon congressional leaders to pass legislation that will reduce financial challenges for...
The No Surprises Act gives states the opportunity to enforce surprise billing provisions, but most are leveraging the federal independent dispute resolution process to determine out-of-network rates,...
The Biden-Harris Administration has updated oversight policies for the Special Focus Facility (SFF) program in an effort to improve the quality and safety of low-performing nursing...
CMS is looking for stakeholder feedback on establishing the first, national directory of healthcare providers and services, according to an unpublished Federal Register notice.
In the request for...
The Supreme Court has declined to hear a challenge of the healthcare vaccine mandate brought on by 10 states claiming the mandate is an overreach of the federal government’s power over states and...
The Texas Medical Association (TMA) is once again suing the federal government over the surprise billing law enacted earlier this year.
TMA sued federal regulators and won last year. At the time, the...
HHS, along with three other federal agencies, has issued a request for information (RFI) to gather stakeholder feedback on the advanced explanation of benefits (AEOB) and good faith estimate (GFE)...
When commenting on the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System proposed rule for calendar year (CY) 2023, the American...
Healthcare groups, including the American Medical Association (AMA), have asked CMS to consider additional updates to the Medicare Shared Savings Program (MSSP) before finalizing the Medicare Physician...
The Radiation Oncology Model has been delayed indefinitely under a final rule released by CMS on Thursday.
The alternative payment and care delivery model for cancer care aims to improve quality of...
A California county organized health system and three healthcare providers have reached a $70.7 million settlement to resolve allegations that they violated the False Claims Act by submitting...
