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10% of Medicare beneficiaries have a claim denied. Here’s how to appeal a decision
Fortune via Yahoo Finance· 9 hours agoYou can ask for an expedited request if your plan or prescriber determines that waiting for a...
Opinion: Most older Americans who need hearing aids don't use them. Here's how to change that
Los Angeles Times· 7 days agoHaving depended on hearing aids for nearly three decades, I’m astounded by the lack of Medicare...
Provider, payer contract disputes are heating up
Modern Healthcare· 6 days agoIn addition, they are fed up with increased payer denials and years of low reimbursement rates, and in some cases, are choosing to cancel contracts altogether. Payers are seeing their medical ...
Back to the Future: HHS Publishes ACA Section 1557 Nondiscrimination Final Rule Similar to 2016-Era...
JD Supra· 6 days agoOn May 6, 2024, the Department of Health and Human Services (“HHS”) Office for Civil Rights (“OCR”) and the Centers for Medicare and Medicaid Services...
More Money, Fewer Prior Auths Needed to Save Private Practices, Lawmakers Told
MedPage Today· 7 days ago"One of the biggest things to keep us in business is just updating the [Medicare] Physician Fee...
CBO testimony blames physician employment for rising costs
Becker's ASC Review· 6 days agoChapin White, director of health analysis for the Congressional Budget Office, delivered testimony May 23 in the U.S. House of Representatives Committee on Ways and Means subcommittee about ...
He fell ill on a cruise. Before he boarded the rescue boat, they handed him the bill.
Reno Gazette-Journal· 3 days agoVincent Wasney and his fiancée, Sarah Eberlein, had never visited the ocean. The couple chose a...
Hospital acquisitions draw House's attention
Axios· 6 days agoWhy it matters: The sentiment in the House Ways and Means and Budget committees may add urgency to advancing bills addressing hospital business practices...
JD Supra: Manatt Health: Health AI Policy Tracker
JD Supra· 5 days agoThe purpose of this quarterly tracker is to identify key federal and state health AI policy activity. Below reflects federal legislative and regulatory activity to date related to AI, and state ...
'No silver bullets' to improve margins, OSF CFO says
Becker’s Hospital Review· 7 days agoOSF was able to turn around a $43.2 million operating loss (-4.5% margin) in the first quarter ended Dec. 31, 2022, to a $0.9 million gain over the same period in 2023. OSF ...
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