CMS Proposes Rule to Expand Access to Health Information and Improve the Prior Authorization Process

The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule on December 6, 2022 that, among other things, […]

Oklahoma hospital terminates Medicare Advantage contracts amid financial challenges

Jakob Emerson – Monday, October 17th, 2022  From Becker’s Payer Issues Stillwater Medical Center in Oklahoma has ended all in-network contracts with […]

RAC Denials of THA, TKA Over Radiology Reports Clash With CMS Guidance, Experts Say

RAC Denials of THA, TKA Over Radiology Reports Clash With CMS Guidance, Experts Say By Nina Youngstrom The fate […]

Reform to prior authorization could be coming

Reform to prior authorization could be coming September 26, 2022 Ron Southwick As posted on Chief Healthcare Executive, Health […]

Appeal when a hospital changes your status from an inpatient to an outpatient with observation services

Earlier this year, the US Court of Appeals for the Second Circuit issued a decision on Barrows v. Becerra, a […]

CMS Seeks Public Feedback to Improve Medicare Advantage

Submit your comments! Here is your opportunity to sound off the CMS regarding the Medicare Advantage program. The Centers for […]

Implanted Spinal Neurostimulators: Document Medical Records

In a recent report, the Office of Inspector General found that Medicare improperly paid claims for implanted spinal neurostimulators when providers […]

KFF’s Kaiser Health News and NPR Launch Diagnosis: Debt, a Yearlong Reporting Partnership Exploring the Scale, Impact, and Causes of the Health Care Debt Crisis in America

About 4 in 10 Adults Have Some Debt Due to Medical or Dental Bills, Finds a National KFF Survey Conducted […]

The Office of Inspector General Issues its Semiannual Report to Congress

The U.S. Department of Health and Human Services Office of Inspector General has issued its semiannual report to Congress covering […]

They Thought They Were Buying Obamacare Plans. What They Got Wasn’t Insurance.

Bram Sable-Smith June 7, 2022 As published by Tina Passione needed health insurance in a hurry in December. The […]