A second interim final rule outlining the details of the No Surprises Act provides much-anticipated guidelines related to the Independent Dispute Resolution process between payers and providers and also lays out requirements for good faith estimates and a patient-provider dispute resolution for uninsured (or self-pay) individuals. READ MORE
Earlier this month, healthcare providers and insurance plans got a more detailed look at how the No Surprises Act (NSA) will be implemented when the departments of Health and Human Services (HHS), Labor, and Treasury released a 411-page interim final rule that will go into effect on January 1, 2022. READ MORE
The Centers for Medicare and Medicaid Services is once again releasing Comparative Billing Reports to some providers who perform critical care evaluation and management services. This time, they will be analyzing claims that occurred in part during the COVID-19 public health emergency, with dates of service from Jan. 1, 2020, through Dec. 31, 2020. READ MORE
On Friday, the Centers for Medicare and Medicaid Services put states with Medicaid work requirements on notice for a likely partial withdrawal of their section 1115 demonstration project waivers. READ MORE
While the creation of the NPI did simplify some administrative headaches, it didn’t entirely rid the healthcare industry of the many ID numbers still in use. Sound confusing? It can be. But this simple Healthcare by the Numbers Guide should help you sort it all out. READ MORE
Indiana has temporarily halted the reporting requirements of its Medicaid work program, known as Gateway to Work, while a lawsuit challenging the program, Rose v. Azar, works its way through federal court. READ MORE
On October 1, some Hoosiers covered by Indiana’s Medicaid expansion program, Healthy Indiana Plan, now have to report 40 hours of work, education, or volunteerism to meet Indiana’s new Gateway to Work requirements. READ MORE
As the surprise billing debate continues, emergency physicians have begun lining up behind one bipartisan House bill. READ MORE
Two issues at the center of the U.S.’s ongoing health debate have drawn the attention of the American Society of Anesthesiologists (ASA): surprise billing and Medicare for All. In both cases, the ASA sees big problems with proposals that tie new policies with existing Medicare payment rates, which for anesthesiologists typically run about a third of what commercial payers pay. READ MORE
In this roundup on surprise billing, we offer a big picture view of the issue, with who’s proposing what and who’s not happy about it. Plus, look for lots of links to follow to read up on the details. READ MORE
