CMS recently announced that they have approved the plans of Arizona to allow new enrollment in the Children’s Health Insurance Program (CHIP). Enrollment for the plan was put on...
CMS recently awarded 516 provided in 47 US states and Puerto Rico to help cut down the risks for strokes and heart attacks for Medicare fee-for-service beneficiaries. Health care...
Physicians-in-training are not extensively offered a proper, formal training in telemedicine. To deal with that, the American Medical Association recently announced a policy that aims to ensure that medical...
ONC recently announced the Phase 1 winners of their Consumer Health Data Aggregator challenge. The objective of the app challenge was to make it easier for both patients and...
CMS recently published a data showing how their yet to release Star Rating system will rate a hospital based on properties such as status and size. The agency is...
The Office of the Inspector General (OIG) recently released a report on the effectiveness of the Senior Medicare Patrol (SMP) program in 2015. The SMP program was established back...
The revised enrollment figures for health insurance exchanges have now been released by the Department of Health and Human Services (HHS). The report shows that the number of consumers,...
The Congress established Medicare Payment Advisory Commission (MedPAC) as a self-governing agency for advices on Medical reimbursement policy issues. Doing its part, MedPAC sent a report to Congress last...
It has been a year since insurers, Anthem and Aetna, announced their plans to merge with Cigna and Humana, respectively. However, the merger plans are not yet approved by...
Senate Finance Committee Chairman, Orrin Hatch (R-Utah), released a white paper last month, which suggests a few modifications in the federal physician self-referral or Stark law. Titled “Why Stark,...
In latest news, CMS expressed their concern regarding physicians billing Medicare beneficiaries registered with the Qualified Medicare Beneficiary (QMB) program. The QMB initiative is targeted for dual-eligible beneficiaries with...
The US Supreme Court recently issued an undisputed decision on the Universal Health Services v. Escobar case that has great implications for upcoming False Claim Act (FCA) cases. The...
The Department of Justice recently published the results of their largest takedown on Medicare fraud. Almost 301 individuals were arrested in the process and the total frauds accumulated to...
The Office of the Inspector General, HHS recently published a report on off-campus units that were covered under Medicare as provider-based facilities. OIG conducted a study to make sure...
Recently, CMS proposed a few changes to the “…procedures that the Department of Health and Human Services would follow at the Administrative Law Judge level for appeals of payment...
The Medical Trustees recently released their annual report on the Hospital Insurance (HI) trust fund and the Supplementary Medical Insurance (SMI) trust fund. The Medicare program covered around 55.3...
Members of the Healthcare Billing and Management Association (HBMA) recently visited senior CMS staff and chief health policy makers in Congress. The meeting gave HBMA members a chance to...
CMS recently revealed their plans on streamlining EHR reporting requirements for hospitals and eligible professionals. “These changes include a proposal for clinicians, hospitals and critical access hospitals to use...
The increasing concerns over opioid epidemic have forced the US Health and Human Services (HHS) to implement several initiatives to stop the outbreak. Some of the new initiatives include...
The Center for Medicare & Medicaid Services recently proposed a new approach towards Medicare Part B payment, which aims to control how prescription drug cost determines the payment of...