Surprise Billing Regulations Finalized

Surprise Billing Regulations Finalized

On August 19, the Department of Health and Human Services (HHS) released its final rules related to the Surprise Billing act. These rules clarify specific requirements under the July 2021 interim rules regarding information that group health plans and health insurance companies offering group or individual health insurance coverage must share about the qualifying payment…

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Proposed CMS 2023 Cuts Threaten Healthcare

Proposed CMS 2023 Cuts Threaten Healthcare

  Once again, proposed Centers for Medicare and Medicaid Services (CMS) cuts to the Physician Fee Schedule for 2023 threaten healthcare in the United States. The American College of Radiology (ACR) posted the five most likely CMS proposals to impact radiology practices in 2023. The CMS’s proposals became public on July 7. Physicians Fee Schedule…

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MedPAC Recommends No Medicare Payment Update for 2023

MedPAC Recommends No Medicare Payment Update for 2023

The Medicare Payment Advisory Commission (MedPAC) issued its latest report to Congress on March 15. Their opinion was simple and direct — Medicare payments don’t need to be increased in 2023. Their report stated, “Overall, access to clinician services for Medicare beneficiaries appears stable and comparable to that for privately insured individuals.” And they continued…

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Texas Physicians Win In No Surprises Act Law Suit

Texas Physicians Win In No Surprises Act Law Suit

A  U.S. district court judge granted the Texas Medical Association’s motion for summary judgment agreeing that the Department of Health and Human Services (HHS) ’s interpretation of the No Surprises Act did not line up with the law, as written, and as Congress intended. The ruling came on February 23, 2022. Judge Jeremy Kernodle concurred…

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