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CMS announces an estimated $180M settlement of long-delayed Medicare claims

June 21, 2019


After two years of negotiations, CMS on Monday announced new voluntary options for Inpatient Rehabilitation Facilities to settle disputes over denied Medicare Part A claims.

How CMS wants to change Medicare Part D prior authorization requirements

June 20, 2019


CMS on Monday proposed a rule intended to streamline Medicare Part D's electronic prior authorization process by circumventing certain HIPAA requirements.

Lawmakers still split on how to address 'surprise' medical bills

June 19, 2019


Lawmakers and stakeholders during a Senate Health, Education, Labor, and Pensions Committee hearing Tuesday agreed steps must be taken to address so-called "surprise" medical bills, but they were divided over the best way to do so.

Are AMCs worth the price? 3 experts weigh in.

June 19, 2019


Despite some experts' calls to divert patients away from costly academic medical centers (AMCs), research demonstrates that AMCs might produce better patients outcomes—and might not cost as much as some policymakers fear, a trio of prominent health care experts argue.

Scammers are offering fake genetic tests to steal Medicare, Medicaid beneficiaries' data, HHS' OIG warns

June 17, 2019


HHS' Office of Inspector General earlier this month issued a fraud alert warning Medicare beneficiaries about an alleged ongoing scam involving genetic testing.

HHS OIG: Elder abuse often goes unreported in nursing facilities

June 14, 2019


Nursing facilities often fail to report serious cases of potential abuse and neglect of Medicare beneficiaries, according to two new reports from HHS' Office of Inspector General.

CMS wants to know: How can it reduce clinicians' administrative burdens?

June 11, 2019


CMS on Thursday issued a request for information seeking new recommendations on how the agency can continue to help reduce administrative burdens on providers and lower health care costs.

Why 250K Medicare beneficiaries are about to be hit with an unexpected bill

June 10, 2019


An estimated 250,000 Medicare beneficiaries can expect to get bills for up to five months of premiums they likely thought already had been paid, but had not because of a "processing error" that occurred in January, according to the Social Security Administration.

SCOTUS just sided with hospitals over $4B in Medicare payments

June 4, 2019


The Supreme Court in a 7-1 decision has upheld a lower court ruling that CMS improperly changed Medicare's disproportionate-share hospital payment formula.

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