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 2021 MPFS Final Rule: See impact by specialty
December 9, 2020 Latest News

2021 MPFS Final Rule: See impact by specialty

After a significant delay and much back and forth between health care provider advocates and Congress, the 2021 Medicare Physician Fee Schedule Final Rule was released Dec. 2.

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 Five reasons to change your medical billing
December 2, 2020 Latest News

Five reasons to change your medical billing

As providers see their revenue dropping and watching their practices fail, many are looking at their revenue cycle and wondering what to do.

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 New Stark Law rules create safe harbors to promote value-based care, telehealth
November 30, 2020 Latest News

New Stark Law rules create safe harbors to promote value-based care, telehealth

A pair of Final Rules issued recently by CMS and the OIG establishes new safe harbors aimed to promote value-based care, while also modifying some of the existing safe harbors.

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 COVID-19 vaccine CPT codes published by AMA
November 13, 2020 Latest News

COVID-19 vaccine CPT codes published by AMA

The American Medical Association has published a host of new codes to cover the yet-to-be-released COVID-19 vaccine.

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November 11, 2020 Latest News, Video

Record payer profits, ER utilization and COVID latest — Stark CEO update

In his latest video, Vachette and Stark CEO Mick Raich reviews a recent letter from the AHA to Congress highlighting the issues with payers reporting record profits when our health system is fighting a pandemic.

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 Revenue cycle trends to monitor during COVID pandemic
November 10, 2020 Latest News

Revenue cycle trends to monitor during COVID pandemic

The health system shut downs that took place in April and May (and in some instances stretched further) are still having downstream effects on revenue cycle operations for many of our clients.

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 CMS to require insurers disclose negotiated rates beginning in 2023
November 2, 2020 Latest News

CMS to require insurers disclose negotiated rates beginning in 2023

Hospitals and healthcare providers soon won't be the only ones working to comply with new price transparency requirements after CMS issued a final rule requiring private payers to publicly disclose their negotiated rates beginning in 2023.

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 AHA pens letter to House Energy and Commerce Committee outlining COVID-19 challenges
October 29, 2020 Latest News

AHA pens letter to House Energy and Commerce Committee outlining COVID-19 challenges

The American Hospital Association recently penned a letter to the House Energy and Commerce Committee in an effort to highlight some of the many challenges hospitals and health systems are encountering as they continue to navigate the COVID-19 pandemic, all…

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 CMS releases 2019 QPP participation, payment analysis
October 28, 2020 Latest News

CMS releases 2019 QPP participation, payment analysis

CMS unveiled its analysis of 2019 QPP participation, again revealing another year of strong buy-in from clinicians that resulted in miniscule bonuses.

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 Molina Healthcare releases Q4 Medicaid prior auth matrix
October 22, 2020 Latest News

Molina Healthcare releases Q4 Medicaid prior auth matrix

On Oct. 1, Molina Healthcare released its fourth quarter code matrix for Medicaid services that require prior authorization.

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