HHS: $4.8B to COVID-19 Testing Reimbursement for the Uninsured
Under the Health Resources and Services Administration (HRSA), HHS announced it will allocate $4.8 billion to COVID-19 testing reimbursement for the uninsured as part of the American Rescue...Site-Neutral Payment Case Lacks Merit, HHS Tells Supreme Court
HHS is asking the Supreme Court to bypass a case brought on by hospital groups challenging site-neutral payment rates for certain outpatient evaluation and management (E/M) services, which the...Medicare Payment Bumped for COVID-19 Antibody, At-Home Infusions
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...CPT Codes Created for Novavax COVID-19 Vaccine, Administration
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...HHS Paying Providers for Underinsured Vaccine Administration
HHS has announced a new program designed to reimburse providers for administering COVID-19 vaccines to underinsured patients. The COVID-19 Coverage Assistance Fund (CAF), launched Monday through the...CT Physicians Accused of “Price Gouging” COVID-19 Tests
A group of physician practices in Connecticut suing Cigna over COVID-19 reimbursement is actually exploiting a national health emergency by overcharging for COVID-19 tests, the payer recently told a...AHA, Hospital Groups Continue Fight Over 340B Drug Discounts
Leading industry groups representing hospitals and pharmacists have written a letter to new HHS Secretary Xavier Becerra asking him to take action against six major pharmaceutical companies that are...AHA: Site-Neutral Medicare Reimbursement May Limit Access To Care
The American Hospital Association has published a study suggesting site-neutral payments could threaten access to care for the most at-risk patients, fortifying its argument against the payment...2% Medicare Sequester Cuts Delayed Through End of 2021
A two percent cut to Medicare reimbursement will be paused until the end of the year, CMS recently announced. The announcement via the MLN Connects newsletter on April 16th stated that the Medicare...Coalition Urges CMS to Rethink Medicare Prior Authorization Growth
A broad coalition of healthcare industry groups is calling on CMS to reconsider Medicare prior authorization growth among outpatient services set to go into effect this summer. The 40 groups...Prior Authorization Burden Still High Despite COVID Struggles
Most physicians still faced a high prior authorization burden despite treating a surge of positive COVID-19 cases this winter, the American Medical Association (AMA) reports. In a survey of 1,000...Sponsored by Brault
