Skip to content

About Me
Cost
News & Updates
Register
Account
Log In

NEWS & UPDATES

Filter Categories

All

340B

Billing, Coding, Compliance

CMMI

CMS

COVID

Data

Finance

Health Policy

Healthcare Finance

HHS

ICD-10

Innovation

Inpatient

Interoperability

Legal Action

Medicaid

Medicare Advantage

MIPs

OIG

Oncology

Operations

Pharma

Prior Auth

Research

Rural Healthcare

SDOH

Strategy

Uncategorized

Webinars and Events

FTC

Workforce

Sort By Date

Envision Healthcare

Envision Healthcare
Amazon Closes Halo Health Tracking Line

Amazon Closes Halo Health Tracking Line
AMA Guide On Modifier -25

AMA Guide On Modifier -25
PHE Ending Fact Sheet

PHE Ending Fact Sheet
Price Transparency Enforcement For Hospitals Increases

Price Transparency Enforcement For Hospitals Increases
Price Transparency Tightens Up

Price Transparency Tightens Up
Kaiser + Geisinger

Kaiser + Geisinger
OIG Updates Compliance Resources

OIG Updates Compliance Resources
One Oncology Positions For Growth

One Oncology Positions For Growth
Commercial Determinants of Health

Commercial Determinants of Health
MA Plan Prior Auth Final Rule

MA Plan Prior Auth Final Rule
Medicare Advantage Final Rule

Medicare Advantage Final Rule
United Healthcare to Dial Back on Prior Auth

United Healthcare to Dial Back on Prior Auth
Judge Strikes Down Obamacare Provision

Judge Strikes Down Obamacare Provision
2024 MA and Part D Rates

2024 MA and Part D Rates
Senate Votes to End COVID Emergency

Senate Votes to End COVID Emergency
Excellent NP Scope of Practice Tool

Excellent NP Scope of Practice Tool
Cigna Modifier 25 Chaos

Cigna Modifier 25 Chaos
Silicon Valley Bank Seized and Closed

Silicon Valley Bank Seized and Closed
Texas Looks to Tighten Price Transparency Compliance

Texas Looks to Tighten Price Transparency Compliance
NC to Repeal CON Laws

NC to Repeal CON Laws
Wal-MART Ups Its Healthcare Involvement

Wal-MART Ups Its Healthcare Involvement
Bright Health …Not Looking So Bright

Bright Health …Not Looking So Bright
PHE Telehealth Code Clarification

PHE Telehealth Code Clarification
PBM Heat

PBM Heat
The Health Struggle is Real: Rural Maternity Care

The Health Struggle is Real: Rural Maternity Care
PHE ENDING REMINDER- What You Need To Know

PHE ENDING REMINDER- What You Need To Know
American Hospital Association and Physician Non Competes

American Hospital Association and Physician Non Competes
Prolonged Services Change

Prolonged Services Change
PHE Ending Update for 1135s

PHE Ending Update for 1135s
DOJ: Voluntary Reporting Announced

DOJ: Voluntary Reporting Announced
Amazon Closes One Medical Deal

Amazon Closes One Medical Deal
2023 Chronic Care Management Updates

2023 Chronic Care Management Updates
CMS Drug Price Lowering Initiative

CMS Drug Price Lowering Initiative
AMA Releases E&M Clarification

AMA Releases E&M Clarification
North Carolina Hospital Profits

North Carolina Hospital Profits
Hospital Data and Facebook/Instagram

Hospital Data and Facebook/Instagram
CHAT GPT

CHAT GPT
NGACO Model Results

NGACO Model Results
Mississippi Hospitals Gets a Grant

Mississippi Hospitals Gets a Grant
CAR-T Gel/Glue

CAR-T Gel/Glue
Obesity in the U.S.

Obesity in the U.S.
Payers Post Profits

Payers Post Profits
CMS PHE Ending Factsheet

CMS PHE Ending Factsheet
CommerceHealth: 2023

CommerceHealth: 2023
Tenet Health Profits Below Estimates

Tenet Health Profits Below Estimates
Oak Street and CVS: A Deep Dive

Oak Street and CVS: A Deep Dive
Olive AI Cuts More: Fall from “The Unicorn”

Olive AI Cuts More: Fall from “The Unicorn”
Coverage of Colorectal Screening Policy Update

Coverage of Colorectal Screening Policy Update
Pandemic Unemployment $$$ Improperly Paid

Pandemic Unemployment $$$ Improperly Paid
Private Equity and Orthopedic Physicians

Private Equity and Orthopedic Physicians
FTC Looks At Amazon and One Medical

FTC Looks At Amazon and One Medical
Track The Healthtech Layoffs

Track The Healthtech Layoffs
Zoom Lays Off 1300

Zoom Lays Off 1300
Centene Reports Quarterly Loss of $213 Million

Centene Reports Quarterly Loss of $213 Million
Texas Hands a Win to Providers Over NSA and Arbitration

Texas Hands a Win to Providers Over NSA and Arbitration
Amazon RX PASS vs Cuban’s Cost Plus

Amazon RX PASS vs Cuban’s Cost Plus
CVS and Oakstreet Health Takeover

CVS and Oakstreet Health Takeover
Finacial and Administrative Spend Indicators

Finacial and Administrative Spend Indicators
340B Reform?

340B Reform?
PRIOR Auth and Oncology

PRIOR Auth and Oncology
2022 Saw An Increase In Administrative Spend

2022 Saw An Increase In Administrative Spend
Alabama Hospital Struggle

Alabama Hospital Struggle
Hospital Inpatient Expenses By State

Hospital Inpatient Expenses By State
KPMG Investments

KPMG Investments
Physician Employment

Physician Employment
NRHA Letter

NRHA Letter
State of Rural Healthcare Report

State of Rural Healthcare Report
SDOH

SDOH
Better Prior Auth and FHIR

Better Prior Auth and FHIR
Hospital 340B Explained

Hospital 340B Explained
340B Issues

340B Issues
2022 CMS CERT Report

2022 CMS CERT Report
2023 Cancer Stats Are Out

2023 Cancer Stats Are Out
HHS Launches the First National Early Care and Education Workforce Center

HHS Launches the First National Early Care and Education Workforce…
Hospital January Flash Report

Hospital January Flash Report
Medicare Advatage Prior Auths

Medicare Advatage Prior Auths
ACOs Still Gaining Steam

ACOs Still Gaining Steam
Prior Auth Requirement Coming!!!

Prior Auth Requirement Coming!!!
Interoperability—More Coming

Interoperability—More Coming
2023 Operation Nightingale Enforcement Action

2023 Operation Nightingale Enforcement Action
Proton Therapy- Cost / Value???

Proton Therapy- Cost / Value???
Ride Share and Radiation Oncology

Ride Share and Radiation Oncology
PHE May Be Ending But Omnibus Bill Would Extend Flexibilities

PHE May Be Ending But Omnibus Bill Would Extend Flexibilities
Medicare Advantage and CMS: Get ready for Audits

Medicare Advantage and CMS: Get ready for Audits
PHE Set To End

PHE Set To End
FTC and Good RX

FTC and Good RX
No Surprise Bill Act Go Live

No Surprise Bill Act Go Live
2022 Proposed Rules

2022 Proposed Rules
Up In Smoke: FDA to Ban Flavors

Up In Smoke: FDA to Ban Flavors
PHE Extended Thru July

PHE Extended Thru July
HHS Secretary Becerra Announces More Than 500,000 Americans Have Enrolled in Marketplace Coverage During Special Enrollment Period

HHS Secretary Becerra Announces More Than 500,000 Americans Have Enrolled…
CMS delays ACO Track of the Community Health Access and Rural Transformation Model

CMS delays ACO Track of the Community Health Access and…
COVID-19 Accelerated and Advance Payments

COVID-19 Accelerated and Advance Payments
Update to the Manual for Telephone Services, Physician Assistant (PA) Supervision, and Medical Record Documentation for Part B Services

Update to the Manual for Telephone Services, Physician Assistant…
HHS Secretary Becerra Announces Reduced Costs and Expanded Access Available for Marketplace Health Coverage Under the American Rescue Plan

HHS Secretary Becerra Announces Reduced Costs and Expanded Access Available…
Resuming Hospital Survey Activities Following 30-day Restrictions

Resuming Hospital Survey Activities Following 30-day Restrictions
340B Letter to Becerra

340B Letter to Becerra
ACR Updated Breast Imaging FAQ

ACR Updated Breast Imaging FAQ
Sequestration Delay Instructions

Sequestration Delay Instructions
CMS Makes Amendment to 4 Telehealth Codes

CMS Makes Amendment to 4 Telehealth Codes
Senate Confirms Becerra

Senate Confirms Becerra
AMA Makes E&M Changes and Corrections

AMA Makes E&M Changes and Corrections
Biden Administration Announces Historic Manufacturing Collaboration Between Merck and Johnson & Johnson to Expand Production of COVID-19 Vaccines

Biden Administration Announces Historic Manufacturing Collaboration Between Merck and Johnson…
Noridian Healthcare Solutions, LLC, Made Improper Medicare Payments of $4 Million to Physicians in Jurisdiction E for Spinal Facet-Joint Injections

Noridian Healthcare Solutions, LLC, Made Improper Medicare Payments of $4…
Biden Administration Strengthens Requirements that Plans and Issuers Cover COVID-19 Diagnostic Testing Without Cost Sharing and Ensures Providers are Reimbursed for Administering COVID-19 Vaccines to Uninsured

Biden Administration Strengthens Requirements that Plans and Issuers Cover COVID-19…
OIG and Telehealth

OIG and Telehealth
Inpatient Stays: Increase in Cost—WHY

Inpatient Stays: Increase in Cost—WHY
CMS Penalizes 700+ Hospitals

CMS Penalizes 700+ Hospitals
COVID-19: Revised Clinician Codes Accepted with CS Modifier

COVID-19: Revised Clinician Codes Accepted with CS Modifier
CMS: E&M Coding Clarification and Updates

CMS: E&M Coding Clarification and Updates
CMS: ESRD Billing Clarification

CMS: ESRD Billing Clarification
CDC Redefines Mask Protocol

CDC Redefines Mask Protocol
AHA’s Response to Recent United Healthcare Policy Changes

AHA’s Response to Recent United Healthcare Policy Changes
G2211 Improperly Paid By Some MACs

G2211 Improperly Paid By Some MACs
Underpayment

Underpayment
Radiology Volumes Fall

Radiology Volumes Fall
Price Transparency- States Putting Pressure Now for Compliance

Price Transparency- States Putting Pressure Now for Compliance
CMS Defines: Reasonable and Necessary

CMS Defines: Reasonable and Necessary
Virginia Does More For Patients: Balanced Billing Protection

Virginia Does More For Patients: Balanced Billing Protection
The Big Hospitals Continue Financial Balancing

The Big Hospitals Continue Financial Balancing
White House Sets Up Federal Marketplace Special Enrollment Period

White House Sets Up Federal Marketplace Special Enrollment Period
Telehealth Coverage Extensions

Telehealth Coverage Extensions
ACS and Others Recommendations on Return to Cancer Screenings

ACS and Others Recommendations on Return to Cancer Screenings
COVID-19 ICD-10-CM Coding Timeline for Outpatient Services

COVID-19 ICD-10-CM Coding Timeline for Outpatient Services
Telehealth Bill Back on the Table

Telehealth Bill Back on the Table
PHE Will Likely Extend Through 2021

PHE Will Likely Extend Through 2021
Biden unveils Covid-19 plan based on ‘science not politics’ as he signs new initiatives

Biden unveils Covid-19 plan based on ‘science not politics’ as…
HHS freezes rule targeting community health centers’ drug discounts

HHS freezes rule targeting community health centers’ drug discounts
COVID Vaccine Information

COVID Vaccine Information
CMS Accomplishments 2017 – 2020

CMS Accomplishments 2017 – 2020
Discretion for Use of Online or Web-Based Scheduling Applications for the Scheduling of COVID-19 Vaccination Appointments

Discretion for Use of Online or Web-Based Scheduling Applications for…
Reducing Provider and Patient Burden by Improving Prior Authorization

Reducing Provider and Patient Burden by Improving Prior Authorization
Seema Verma Submits Resignation

Seema Verma Submits Resignation
Changes to Medicare Advantage and Part D Will Provide Better Coverage, More Access and Improved Transparency for Medicare Beneficiaries

Changes to Medicare Advantage and Part D Will Provide Better…
Progress for Patients Over Paperwork

Progress for Patients Over Paperwork
COVID and WARP Speed Update

COVID and WARP Speed Update
Snap Shot of Last 2021 Enrollment

Snap Shot of Last 2021 Enrollment
CMS Final Rule for Innovative Devices

CMS Final Rule for Innovative Devices
CMS: Updated Pandemic Plan

CMS: Updated Pandemic Plan
Billing for Home Infusion in 2021

Billing for Home Infusion in 2021
RO APM Webinar Update

RO APM Webinar Update
PHE Has Been Extended…Again

PHE Has Been Extended…Again
Extreme and Uncontrollable Circumstance Exception Deadline

Extreme and Uncontrollable Circumstance Exception Deadline
2021 Annual Update to the Therapy Code List

2021 Annual Update to the Therapy Code List
Conversion Factor Change Again For MPFS?

Conversion Factor Change Again For MPFS?
MLN OPPS Updates- January

MLN OPPS Updates- January
2021 MIPS Resources Now Available

2021 MIPS Resources Now Available
Price Transparency is Here—Live—and Compliance is Low

Price Transparency is Here—Live—and Compliance is Low
Be mindful of the Open Payments Program expansion

Be mindful of the Open Payments Program expansion
HHS says drugmakers must provide 340B discounts to contract pharmacies

HHS says drugmakers must provide 340B discounts to contract pharmacies
CMS names an e-prescribing standard to reduce provider burden and expedite patient access to needed medications

CMS names an e-prescribing standard to reduce provider burden and…
Price Transparency Moves Forward— AHA Loses Another Last Ditch Effort

Price Transparency Moves Forward— AHA Loses Another Last Ditch Effort
Most Favor Nation Stuck Down in California

Most Favor Nation Stuck Down in California
Medicare FFS Claims: 2% Payment Adjustment (Sequestration) Suspended Through March

Medicare FFS Claims: 2% Payment Adjustment (Sequestration) Suspended Through March
Update: Direct Contracting Initiative

Update: Direct Contracting Initiative
What does signing the relief bill mean? What is the Impact?

What does signing the relief bill mean? What is the…
Telehealth Expansion Benefit Enhancement Under the Pennsylvania Rural Health Model (PARHM) – Implementation

Telehealth Expansion Benefit Enhancement Under the Pennsylvania Rural Health Model…
New Measures Under Consideration Mark a Milestone for CMS’s Reimagined Quality Strategy to Increase Digital Innovation and Reduce Burden

New Measures Under Consideration Mark a Milestone for CMS’s Reimagined…
Congress Delays 2021 Cuts

Congress Delays 2021 Cuts
Planning for the Resumption of Normal State Medicaid, Children’s Health Insurance

Planning for the Resumption of Normal State Medicaid, Children’s Health…
Expansion of Treatment For Substance Abuse

Expansion of Treatment For Substance Abuse
RO APM Delayed Until 2022

RO APM Delayed Until 2022
On December 18, 2020, the U.S. Food and Drug Administration issued an Emergency Use Authorization (EUA) for the Moderna COVID‑19 Vaccine

On December 18, 2020, the U.S. Food and Drug Administration…
CMS Proposes Updates to Coverage Policy for Autologous Blood-Derived Products for Chronic Non-Healing Wounds

CMS Proposes Updates to Coverage Policy for Autologous Blood-Derived Products…
Establishing Minimum Standards in Medicaid State Drug Utilization Review (DUR) and Supporting Value-Based Purchasing (VBP) for Drugs Covered in Medicaid, Revising Medicaid Drug Rebate and Third Party Liability (TPL) Requirements (CMS 2482-F) Final Reg

Establishing Minimum Standards in Medicaid State Drug Utilization Review (DUR)…
CMS End Of Year Reminders for 2020 Data Submission

CMS End Of Year Reminders for 2020 Data Submission
Price Transparency Audits Coming

Price Transparency Audits Coming
COVID-19: Add-on Payment for New Treatments

COVID-19: Add-on Payment for New Treatments
RO-APM ROAP Portal Updates

RO-APM ROAP Portal Updates
CMS Announces New Model Opportunity for Medicaid Managed Care Organizations Serving Beneficiaries Dually Eligible for Medicare and Medicaid

CMS Announces New Model Opportunity for Medicaid Managed Care Organizations…
MLN Summary of Policies in the Calendar Year (CY) 2021 Medicare Physician Fee Schedule (MPFS) Final Rule, Telehealth Originating Site Facility Fee Payment Amount and Telehealth Services List, CT Modifier Reduction List, and Preventive Services List

MLN Summary of Policies in the Calendar Year (CY) 2021…
COA WEBINAR DECEMBER 22nd on MOST FAVORED NATION

COA WEBINAR DECEMBER 22nd on MOST FAVORED NATION
CMS Office of the Actuary Releases 2019 National Health Expenditures

CMS Office of the Actuary Releases 2019 National Health Expenditures
CMS Releases Preliminary 2019 Medicaid and CHIP Enrollment and Service Use Data Tailored to Broad Research and Analysis

CMS Releases Preliminary 2019 Medicaid and CHIP Enrollment and Service…
Register for the Webinar: 2018 Quality Payment Program Performance Information Published on Medicare Care Compare

Register for the Webinar: 2018 Quality Payment Program Performance Information…
Payment Allowances and Effective Dates for COVID-19 Vaccines and their Administration during the Public Health Emergency.

Payment Allowances and Effective Dates for COVID-19 Vaccines and their…
Medicare will cover & pay for the administration of the Emergency Use Authorization issued vaccines for beneficiaries.

Medicare will cover & pay for the administration of the…
Improving Prior Authorization Processes and Promoting Patients’ Electronic Access to Health Information Proposed Rule Listening Session

Improving Prior Authorization Processes and Promoting Patients’ Electronic Access to…
CMS Solicits Public Comment for a New Demonstration to Offer Inpatient Rehabilitation Providers Flexibilities and Reduce Medicare Fraud

CMS Solicits Public Comment for a New Demonstration to Offer…
SCOTUS Rules on PBMs

SCOTUS Rules on PBMs
340b Pricing Lawsuits

340b Pricing Lawsuits
U.S. DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND THE TREASURY ISSUE FINAL RULE TO PROVIDE GREATER FLEXIBILITY FOR GRANDFATHERED GROUP HEALTH PLANS

U.S. DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND THE…
Oncologists Sue to Stop “Dangerous and Unlawful” Most Favored Nation Drug Pricing Scheme

Oncologists Sue to Stop “Dangerous and Unlawful” Most Favored Nation…
ESRD Webinar and Slides Now Available

ESRD Webinar and Slides Now Available
HHS Announces False Claims Act Working Group to Enhance Efforts to Combat Fraud and Focus Resources on Bad Actors

HHS Announces False Claims Act Working Group to Enhance Efforts…
CMS Proposes New Rules to Address Prior Authorization and Reduce Burden on Patients and Providers

CMS Proposes New Rules to Address Prior Authorization and Reduce…
HHS Proposes Modifications to the HIPAA Privacy Rule to Empower Patients, Improve Coordinated Care, and Reduce Regulatory Burdens

HHS Proposes Modifications to the HIPAA Privacy Rule to Empower…
High Court Upholds State Law Reining in Pharmacy Drug Middlemen

High Court Upholds State Law Reining in Pharmacy Drug Middlemen
COVID-19 fraud is rapidly evolving

COVID-19 fraud is rapidly evolving
CMS Announces Guidance for Medicare Coverage of COVID-19 Antibody Treatment

CMS Announces Guidance for Medicare Coverage of COVID-19 Antibody Treatment
Federal Health Insurance Exchange Weekly Enrollment Snapshot: Week Five

Federal Health Insurance Exchange Weekly Enrollment Snapshot: Week Five
Open Payments 2021 Expansion Webinar

Open Payments 2021 Expansion Webinar
CMS Podcast and Transcripts

CMS Podcast and Transcripts
MIPS Research Study

MIPS Research Study
December Stakeholder Calls

December Stakeholder Calls
Physician, Nurse, Healthcare Professional CMS Open Forum

Physician, Nurse, Healthcare Professional CMS Open Forum
OIG Fraud Semi Annual Report to Congress

OIG Fraud Semi Annual Report to Congress
List of Telehealth Codes Updated 12/2/20

List of Telehealth Codes Updated 12/2/20
Most Favored Nation- LAWSUIT FILED

Most Favored Nation- LAWSUIT FILED
ROAP Office Hours Sessions

ROAP Office Hours Sessions
2021 OPPS Drug Codes – A, C & J and Reimbursements

2021 OPPS Drug Codes – A, C & J and…
2021 Brachytherapy Source Code Reimbursements

2021 Brachytherapy Source Code Reimbursements
MLN Network Courses Available @ Learning Management System

MLN Network Courses Available @ Learning Management System
Geographic Direct Contracting Webinar- Dec. 8th

Geographic Direct Contracting Webinar- Dec. 8th
Direct Contracting Geographic Model

Direct Contracting Geographic Model
RO APM Updates per 1736-F

RO APM Updates per 1736-F
Administration Finalizes Policies to Give Medicare Beneficiaries More Choices around Surgery

Administration Finalizes Policies to Give Medicare Beneficiaries More Choices around…
1736-F OPPS Final Rule

1736-F OPPS Final Rule
ICD-10 Updates

ICD-10 Updates
Interoperability and Patient Access Final Rule Call

Interoperability and Patient Access Final Rule Call
Physician Fee Schedule Final Rule: Understanding 4 Key Topics Call

Physician Fee Schedule Final Rule: Understanding 4 Key Topics Call
1734-F PFS Final Rule Released

1734-F PFS Final Rule Released
1735 IPPS Final Rule Correction

1735 IPPS Final Rule Correction
Verma at ONC API Event

Verma at ONC API Event
Hospital Price Transparency Webinar

Hospital Price Transparency Webinar
RO APM Correction Notice

RO APM Correction Notice
Interoperability Webinar

Interoperability Webinar
RO APM Webinar

RO APM Webinar
ESRD Webinar

ESRD Webinar
CMS Compare Tool and Enrollment

CMS Compare Tool and Enrollment
CMS Announces Comprehensive Strategy to Enhance Hospital Capacity Amid COVID-19 Surge

CMS Announces Comprehensive Strategy to Enhance Hospital Capacity Amid COVID-19…
Most Favored Nation

Most Favored Nation
Stark Law Reform

Stark Law Reform
Hospital Closures Since 2010

Hospital Closures Since 2010
Unapproved Drug Initiative

Unapproved Drug Initiative
CMS Proposed Rule Seeks to Reduce Exchange Fees

CMS Proposed Rule Seeks to Reduce Exchange Fees

Copyright © 2025 The Healthcare Hub | Terms

Powered by The Healthcare Hub