Hospital admissions for conditions other than COVID-19 are still far below pre-pandemic levels and could stay that way for some time, according to a new study in Health Affairs.
The study conducted by...
The American Hospital Association (AHA) is urging HHS to reinstate Provider Relief Fund reporting requirements outlined in a June 19 FAQ rather than move forward with those detailed in a Sept. 19...
The American Hospital Association (AHA) is speaking out against a new RAND Corporation study that found private health plans pay 247 percent more, on average, than what Medicare would pay for the same...
Providers are increasingly using chronic care management (CCM) codes to address care fragmentation issues for patients with multiple chronic conditions. However, utilization patterns among...
The Medicare Payment Advisory Commission (MedPAC) is the latest group to weigh telehealth reimbursement expansions after the COVID-19 pandemic.
In a meeting held virtually last week, MedPAC analysts...
Shortly after releasing the 2021 Current Procedural Terminology (CPT) code set, the American Medical Association (AMA) added two more codes related to COVID-19, including one that accounts for the...
HHS’ Office of the Inspector General (OIG) will audit Medicare payments made to hospitals for COVID-19 discharges that qualified for a 20 percent add-on payment under the Coronavirus Aid, Relief,...
So far, about $291 billion of COVID-19 financial relief for the healthcare industry has been disbursed or committed, leaving about $121 billion still up for grabs, the Committee for a Responsible...
Medicare reimbursement cuts meant to keep home health payments levels during the transition to a patient-based payment system have actually resulted in significant revenue decreases for the providers,...
The American Medical Association (AMA) implemented major changes to the 2021 Current Procedural Terminology (CPT) code set in an effort to simplify coding and documentation of office visits and...
America’s Health Insurance Plans (AHIP) is calling on the government to stop price gouging after finding provider prices for out-of-network COVID-19 tests far exceeded the average cost of...
The American Hospital Association (AHA) is demanding that five major pharmaceutical companies cease new efforts to curtail 340B drug discounts.
In the past couple of weeks, Merck, Eli Lilly, Sanofi,...
Researchers at the Pacific Research Institute are warning Congressmembers to steer clear from price controls as a solution for surprise billing after finding that the policy approach had unintended...
Children’s hospitals are finally getting a piece of the coronavirus relief fund pie.
HHS recently announced that the Health Resources and Services Administration (HRSA) has begun distributing...
Hospitals need more time to repay Medicare payments advanced to them as a financial safety line at the start of the COVID-19 pandemic, the Federation of American Hospitals (FAH) recently told...
Physician prices for commercial insurers are still well above those paid by Medicare, but there is significant variation in how much more the payers reimburse physicians for professional medical...
In last week’s release of the proposed 2021 Medicare Physician Fee Schedule rule, CMS confirmed that it will implement changes to evaluation and management (E/M) payments by updating work...
The American Medical Association (AMA) recently expanded its Current Procedural Terminology (CPT) code set to include four new CPT codes for coronavirus testing, according to a special coding guidance...
In the first several months of the COVID-19 pandemic, Medicaid enrollment increased by at least 2.3 million Americans, according to researchers from the University of Minnesota.
For more coronavirus...
UPDATE 08/24/2020: CMS has extended the deadline for hospitals to apply for reclassification of their Medicare wage index area for FY 2022 from Sept. 1, 2020, to 15 days after it releases the...
