HHS
publication date
Revenue Cycle
Have a 340B Dispute? Prepare For Possible ChangesHHS released a proposed rule outlining changes it wishes to make to the 340B administrative dispute resolution process.
Payer
ACA Enrollment Up 17% Compared to Last YearNew customers are flocking to Affordable Care Act (ACA) Marketplace health plans in the early stages of the open enrollment...
Telehealth
Congress Pressed to Extend Pre-Deductible Telehealth WaiverThe waiver was included in the 2020 CARES Act but will expire on December 31 if lawmakers don't act.
Revenue Cycle
5 Ways to Reduce No Surprises Act BurdensThe MGMA recently detailed five ways the government can help alleviate burdens from certain requirements under the No Surprises Act.
Revenue Cycle
6 Recommendations for Overcoming No Surprises Act HurdlesA workforce group penned a letter to HHS that highlights recommendations for meeting the legislation's deadlines.
Payer
OIG: Medi-Cal Made $15.7M in Unallowable Capitation PaymentsThe California Department of Health Care Services agrees with the audit findings.
Revenue Cycle
OIG Plans to Keep an Eye on CMS' Price Transparency EnforcementHealth systems are not the only entities now being held accountable for upholding price transparency.
Revenue Cycle
Sutter Health agrees to pay $13 million to settle false claims act allegations of improper billing for lab testsSutter Health, a Sacramento-based health care services provider, and its affiliate Sutter Bay Hospitals, the successor to Sutter East Bay...
Technology
Current Machine Learning Efforts Fall Short, But Collaboration in Healthcare Could HelpAdaptive techniques could improve diagnostic effectiveness in five key disease areas, a Government Accountability Office report states, but only if...
Revenue Cycle
The Useful 5: Regulatory Roundup for Rev Cycle LeadersHealthLeaders' regulatory round up series highlights five essential governing updates that cover every aspect of the revenue cycle that leaders...
Payer
HHS-OIG says Humana's MA Plan Overcharged $34.4MHumanaChoice says it 'strongly disagreed' with the audit, which found that 76% of claims 'were not supported in the medical...
Payer
HHS-OIG Says Highmark Senior Health Upcoded $6.2MThe payer disputes an audit finding that 70% of the diagnosis codes submitted for 'high risk groups' in 2016 and...