The federal government is hoping to build upon the successes of their pilot diabetes prevention program, as they are moving forward with their plan to expand the prevention program...
The Department of Justice (DOJ) and the Department of Health and Human Services (HHS) recently issued a joint guidance letter to the local and state child welfare systems, highlighting...
In a recent announcement, CMS declared their plans to launch a provider engagement initiative to improve the clinician experience in the Medicaid program. Reports indicate that the development of...
The Obama Administration is now trying hard to pay health insurers billions of dollars that the Federal government owes under ACA. This is planned through a move that may...
CMS recently asked for the information of the practice of the payment of insurance premium for the beneficiary by third party. CMS is also requesting data on whether the...
According to the new proposed rule by the Department of Health and Human Services, the recipients of Title X federal funding for family planning would be banned from excluding...
A recent report from the CMS Office of the Actuary (OACT) predicted that the overall expenditure in the health care sector would grow substantially in the upcoming years. The...
The state officials in Illinois have shut down three CO-OP facilities within the last two month, the most recent one being the Land of Lincoln health insurance company. The...
Mobile charge capture technology is an innovative and effective technical advancement in the field of medical science. By adopting an effective mobile charging application, you can eliminate many major...
Recently, CMS released a new grading system that gives a star rating to the hospitals in the US based on the quality of care provided. For the first time,...
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,...
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...
RAC or Recovery Audit Contractor program was designed by CMS in 2007 to control overspending in Medicare Parts A and B. Since then, it has been focusing on auditing...
Two recent studies show that Electronic Health Record screening programs, which use alert-based systems, have helped boost HCV testing over four times in 3 years, among American Indian/Alaska Native...
There are many reasons contributing to physician burnout these days: technology, regulation, and reimbursement being just a few among them. A nine-step EHR optimization program may be the answer...
The Council for Affordable Quality Healthcare (CAQH) has let out its 2015 catalog of electronic transaction adoption rates. The organization is a non-profit alliance of health plans and trade...
The participants for the latest ACO model were announced recently by the Obama Administration. The data released says that there are about 477 ACOs currently operating across the recognized...
There are heavy controversies surrounding the tactics used by the RAC audits to date. But despite this, they have been instrumental in saving Medicare significant money through the audits...
The ACA open enrollment is proceeding. Health insurance claimants for plans sold on the federal and state HIEs are enrolling at present, and there is very little time left...