"On July 10, 2024, the Centers for Medicare & Medicaid Services issued a proposed rule in which it outlined proposed amendments to the suspension provisions and deadlines for reporting and returning Medicare Part A and Part B overpayments, and stated that it is continuing its review and evaluation of previously proposed changes to existing overpayment regulations." Read more: https://lnkd.in/ghcCJR2z Authors: Michael Paddock, Kathleen Stratton & Elicia Grilley Green Subscribe to our Healthcare Law Blog: https://lnkd.in/gjy_N4sv #healthcare #CMS #Medicare
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2023 was certainly an eventful year for both Congress and federal agencies such as the Centers for Medicare and Medicaid Services (CMS). However, much of their policy efforts from 2023 remain unfinished which sets up 2024 as a year for more legislative and regulatory activity. 2024 being an election year makes it difficult to predict exactly how productive Congress and the federal agencies will be. Many important decisions will be held until the end of the year after the results of the election. While we do not know the exact outcome, we know many of the top policy priorities for both Congress and CMS. Read our Preview of the Federal Health Policy in 2024. https://bit.ly/48e8jOF
Previewing Federal Health Policy in 2024 - ADVOCATE Radiology & Billing
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In Westlaw Today, Christine Moundas, Gideon Palte and Carolyn Lye, MD, JD Lye discussed the Centers for Medicare & Medicaid Services-for-Medicare-&-Medicaid-Services final rule on electronic prior authorization requirements for payers and providers. #Medicare #Medicaid #digitalhealth #healthIT
In Westlaw Today, Health Care Attorneys Discuss CMS Final Rule on Electronic Prior Authorization Requirements for Payers and Providers | News & Events | Ropes & Gray LLP
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How could the CY 2025 PFS Proposed Rule affect your obligations regarding reporting and returning Medicare overpayments? Attorney George Breen examines the implications of the proposed rule for false claims. #AffordableCareAct #Medicare #HealthCare
Affordable Care Act Overpayments in the CY 2025 Medicare Physician Fee Schedule Proposed Rule: Implications for False Claims
healthlawadvisor.com
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The way in which Medicare reimburses providers in traditional fee-for-service is based on an out of date and opaque coding structure that then distorts both the private and public markets. This recent piece in Health Affairs Forefront written by James C. Capretta, David N. Bernstein and myself dives into the complexity of the current system and potential ways to improve it. https://lnkd.in/eJ2FH5ZR
Medicare’s Price-Setting Rules: An Alternative Perspective | Health Affairs Forefront
healthaffairs.org
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Dad | Husband | Principal at PYA | Helping Clients Solve Complex Problems | Healthcare Business Valuation | Lifelong Learner and Teacher
Did you know about the changes to the Medicare Physician Fee Schedule conversion factor? Spoiler alert - It's going up. Learn more about this change and more in this summary!
Last week President Biden signed into law the Consolidated Appropriations Act, 2024, avoiding a looming partial government shutdown. How does the new law impact healthcare providers? #CAA #healthcare
Consolidated Appropriations Act, 2024 – Impact on Healthcare Providers - PYA
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Senior Director PMO | Leadership & Governance | Strategic Program Leader | Product Development | Healthcare & Technology Professional
Prior authorization in Medicare Advantage remains a hot topic that has frustrated providers and paitents. New regulations aim to improve access and set a standard by 2025, but challenges remain. What are your thoughts on the future of prior authorization in MA? What should the new standard be? #healthcare #medicare #priorauthorization https://lnkd.in/gszgaceX
Prior authorization in Medicare Advantage remains in the policy spotlight as 2024 regulations take effect | HFMA
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Protecting Seniors' Healthcare: Biden's Plan Threatens Medicare Advantage Benefits #benefits #BidenAdministration #campaignpromises #choices #costreduction #Coverage #fraud #governmentcontrol #governmentrole #healthcare #medicalservices #MedicareAdvantageplans #negativeimpact #patientaccess #prescriptiondrugs #qualityhealthcare #representatives #seniorcitizens #seniors
Protecting Seniors' Healthcare: Biden's Plan Threatens Medicare Advantage Benefits | US Newsper
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Healthcare policy expert and technology leader. Healthcare and technology investor. Co-Founder/Chief Solutions Officer, Lilac Software. Healthcare blogger/podcast host. Author, The Healthcare Labyrinth. Ukraine blogger.
The 2/28 Healthcare Labyrinth Newsfeed is live. Click below to read. Major stories: -- Update on government shutdown -- Mississippi may expand Medicaid -- with a catch -- FTC accuses PBMs of stonewalling investigation #healthcare #healthcarereform #healthinsurance #healthcarelabyrinth
February 28, 2024 - The Healthcare Labyrinth
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The 3/20 Healthcare Labyrinth Newsfeed is live. Click below to read. Major stories: -- Budget deal reached -- Lawsuits against Change Healthcare -- Health equity change will have big impact on MA Star -- CBO says weight-loss drugs cost over a decade in Medicare -- GA Medicaid expansion criticized #healthcare #healthinsurance #healthcarereform #healthcarelabyrinth
March 20, 2024 - The Healthcare Labyrinth
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CMS Report Details Total Complaints Related To No Surprises Act And ACA Compliance Fierce Healthcare (8/21, Tong) says CMS “issued a new report Tuesday detailing total complaints related to the No Surprises Act and Affordable Care Act compliance.” The report indicated that “providers and consumers earned $4.18 million in relief after the agency received more than 16,000 complaints, as of June 30. More than 12,000 complaints were tied to the No Surprises Act compliance, while 248 were about Affordable Care Act compliance.” Approximately “3,000 cases are still open.” About “35% of closed cases found no violation.” https://lnkd.in/gTqfGEru
CMS closes thousands of No Surprises Act complaints, directs $4M in relief
fiercehealthcare.com
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