Apr 26th, 2018
The Trump administration is drafting plans to undo the Obama administration’s Affordable Care Act (ACA) rule preventing doctors, healthcare organizations, and health insurance companies from discriminating against transgender people. If the Trump administration’s rollback gets passed, it could potentially open the way for clinical staff to turn away a transgender individual from receiving medical a...
In Billing
Apr 23rd, 2018
Medlearn Matters Article MM10607 updates the Type of Service (TOS) code for CPT code 77067 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed from 4 Diagnostic radiology to 1 Medical care to allow physicians, providers, and suppliers to bill without referring physician information on the claim, effective Jan. 1, 2017. Change is Du...
In CMS
Apr 13th, 2018
The Centers for Medicare & Medicaid Services (CMS) put on display April 9 a rule that finalizes several proposed changes that will significantly expand the role of states in the administration of the Patient Protection and Affordable Care Act (PPACA), with the intention to reduce regulatory burden and increase flexibility. Background of the PPACA President Obama ...
In CMS
Feb 27th, 2018
Led by Texas’ attorneys generals, 19 other states have filed suit in the US court, North District of Texas, arguing the Patient Protection and Affordable Care Act, which is both known as the ACA and Obamacare, is no longer constitutional based on a previous case and the recent tax cut law. ACA “Unlawful” The states argue that ...
In CMS
Jan 25th, 2018
Former drug industry executive, Alex Azar, was confirmed by congress by bipartisan vote to be the new secretary of the U.S. Department of Health & Human Services (HHS). The former president of the Big Pharma company Eli Lilly & Co., “will now be in charge of buying more medications than anyone in the world,” according ...