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 ...
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 ...