While many industry experts predicted hospitals may largely choose to skirt new price transparency rules that went into effect this year, a recent study from Health Affairs has unveiled a shockingly low number of the nation's largest hospitals are in…
Due to Covid-19, CMS has announced it will automatically extend its extreme and uncontrollable circumstances policy to all 2020 Merit-based Incentive Payment System (MIPS) clinicians who have only submitted limited data. Previously, individuals and groups impacted by the Covid Public…
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.
The American Medical Association has published a host of new codes to cover the yet-to-be-released COVID-19 vaccine.
CMS unveiled its analysis of 2019 QPP participation, again revealing another year of strong buy-in from clinicians that resulted in miniscule bonuses.
Stark Medical Auditing CEO Mick Raich reviews Medicare’s recent move to lower COVID-19 test payments for labs that don’t produce results within 48 hours and the impact that may have on labs moving forward.
Beginning Jan. 1, 2021, CMS will only pay the $100 high-throughput rate to labs that complete testing within two calendar days of the specimen being collected.
Despite pushback from numerous hospital and provider advocacy groups, CMS appears set to move forward with plans to require hospitals to disclose their service pricing beginning Jan. 1, 2020.
A program designed to push providers to consult for "appropriate use" of advanced diagnostic imaging services ordered for Medicare beneficiaries to avoid claim denials will not be enforced until 2022 instead of next year as initially proposed, according to a…
The first self-audit report of 2018 claims is due by no later than June 7, 2020. However, to allow for timely filing of claims, providers may not begin the audit until Jan. 1, 2020.