HHS
publication date
Payer
National Uninsured Rate Hit All-Time Low This YearHHS released a report showing 5.2 million people have gained health insurance since 2020 as a result of the Biden...
Revenue Cycle
U.S. attorney’s office recovers over $5.5 million in civil false claims settlement with American senior communitiesAmerican Senior Communities, L.L.C. (ASC), a provider of skilled nursing and long-term care services throughout Indiana, has agreed to pay...
Revenue Cycle
Western Maryland Physician and Pain Management Practice Group agree to pay $980,000 to settle federal false claims act allegations of billing for medically unnecessary urine drug testsBaltimore, Maryland ? Melvin Gonzaga, M.D., his son Rommel Gonzaga, and their practice group Gonzaga Interventional Pain Management (?GIPM?) have...
Revenue Cycle
Watertown medical practice to pay $850,000 to resolve false claims act allegationsNorth Country Neurology, P.C., a physician-owned medical practice located in Watertown, New York, has agreed to pay $850,000 for what...
Revenue Cycle
MGMA Argues for Advanced Notice of No Surprises Act EnforcementThe group is asking CMS to provide an appropriate timeline for layering new surprise billing requirements, which have created administrative...
Revenue Cycle
Hospital Groups Urge HHS to Renew PHE, Regulatory WaiversThe waivers have given facilities flexibility and allowed for several crucial payment policies during the COVID-19 pandemic, hospitals argue.
Payer
HHS Proposes Restoring LGBTQ Health Protections Struck Down by TrumpThe proposed rule will prohibit discrimination on the basis of race, color, national origin, sex, age, and disability in healthcare...
Revenue Cycle
House Members Ask HHS for Clarification on 96-Hour Payment RuleCritical access hospitals (CAHs) have not had to abide by the rule in recent years due to financial strains and...
Payer
5 Mid-Year Medicaid Expansion UpdatesOf the 12 states that have not expanded their Medicaid programs, four have taken legal, legislative, and/or budgetary actions this...
Finance
Hospitals Struggle to Break Free of Pandemic’s Financial TollFederal assistance from the CARES Act is exhausted, forcing many organizations to seek emergency help from FEMA.
Telehealth
Feds List 7 Characteristics of a Fraudulent Telehealth ArrangementThe characteristics are part of a Special Fraud Alert issued by the Health and Human Services Department's Office of the...
Revenue Cycle
AHA Asks for Prompt Repayment of 340B Funds to HospitalsThe hospital organization wants HHS to remedy the unlawful payment cuts without applying budget neutrality.