Litigation over the Biden administration’s process for resolving surprise medical billing disputes threatens to exacerbate a growing backlog in claims and leave doctors without paychecks, healthcare lawyers said.
According to CMS, privileges are not to be granted for tasks/procedures/activities that are not conducted within the hospital—regardless of the practitioner’s ability to perform.
Therefore, when developing your core privileging system, list only those services and procedures that your hospital currently provides; e.g., an activity/task/procedure that the hospital can support and is conducted within the hospital.
The final rule published in August to implement the independent dispute resolution process under the No Surprises Act “follows neither the letter nor the intent of the law,” leaders of the House Ways and Means Committee Friday told the departments of Health and Human Services, Labor and the Treasury.
Six years ago, U.S. hospitals officially got the ability to document patients’ housing status, including housing instability and homelessness. The new “Z codes” reflect an increasing recognition of the role of housing as one of the key social determinants of health.
In health policy, there's nothing quite as opaque as price transparency. Insurance companies and hospitals tend to say there's no place for it in the healthcare sector, since medicine is more complicated than cars or groceries.