Communication is essential to a smooth appeals process. Your practice was the subject of a special investigation unit (SIU) audit, and now the payer is asking for a refund. You have two choices: pay or appeal. If you disagree with the findings, the smart choice is to meet with the payer, appeal the findings, and ...
Oct 13th, 2017
Despite the inability of republicans in Congress to roll back the Affordable Care Act (ACA), President Trump has promised an executive order to offer relief to healthcare consumers facing rising insurance premiums. He is using “the power of the pen,” according to a tweet, to overhaul healthcare. Under the ACA, new insurance requirements prohibited insurers from denying sick ...
In CMS
Jun 27th, 2017
The Senate’s Better Care Reconciliation Act (BCRA) received its score from the Congressional Budget Office (CBO). If the bill passes and is signed into law, providers will see 15 million patients lose coverage next year, with another of 22 million losing coverage by 2026. All told, the federal office says 49 million people will lose health coverage by ...
In CMS
Mar 21st, 2017
It may be spring, but the freeze is still on in Washington, D.C. — the “Regulatory Freeze Pending Review” memorandum, or Freeze Memo, that is. The Freeze Memo encourages agencies to temporarily postpone the effective date of regulations that have been published in the Federal Register, but have not taken effect, for 60 days from the date ...
Mar 6th, 2017
During a Joint Address to Congress, Feb. 28, President Trump called on Democrats and Republicans to repeal and replace Obamacare with reforms that expand choice, increase access, lower costs, and provider better healthcare. “Mandating every American to buy government-approved health insurance was never the right solution for our country,” Trump said. “The way to make health insura...