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Practice Management

Reimbursement

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Senate Report Blasts Private Equity Ownership in Health Facilities

"The American public deserves more when it comes to healthcare"

Jan 08, 2025
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Do the New CMS Rules on Prior Authorization Go Far Enough?

No, say some physicians and advocacy groups

Jan 07, 2025
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Opinion
Will a CEO’s Murder Nudge American Healthcare Toward the Unthinkable?

Ron Harman King fears healthcare reform may hinge on the courts, not Congress, at great cost

Jan 05, 2025
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Modest Decline in Patient Portal Messages After Billing Initiative Launched

Policy had no impact on ED visits or hospitalizations

Dec 30, 2024
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Medicare Will Cover Blood Tests to Monitor for Transplant Rejection, for Now

Test advocates awaiting more details from CMS on its coverage policy

Dec 27, 2024
A photo of a technician using a pipette to extract blood from a test tube.
In Settling Fraud Case, N.Y. Medicare Advantage Insurer, CEO Will Pay Up to $100M

It's one of the first to accuse a data mining firm of helping a health plan overcharge

Dec 24, 2024
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Congress Ditched Fix to Medicare Doc Pay Cut in Skinny Budget Bill

One warns of "dangerous game" in continuing Medicare pay cuts

Dec 23, 2024
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Health Spending Up 7.5% in 2023, CMS Says

Spending reached $4.9 trillion, with spending on physician and clinical services up 7.4%

Dec 18, 2024
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Congress Agrees on Tentative Budget Deal; Mostly Reverses Docs' Medicare Pay Cut

Agreement would reduce a 2.8% cut to 0.3%, but doesn't include prior authorization reform

Dec 18, 2024
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MedPAC Members Supportive of Upping Medicare Pay Rates Close to the Inflation Rate

Proposed recommendation would give extra pay bump to providers serving low-income beneficiaries

Dec 12, 2024
 A photo of a female physician holding several $50 bills.
Should Hospitals Be Paid the Same as Doctors' Offices for the Same Service?

"Site-neutral" payment in Medicare is gaining traction in the halls of Congress

Dec 12, 2024
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State 'Gold Card' Laws Sound Good -- But Are They Working?

A Texas law to exempt providers from prior authorization hasn't worked out as hoped

Dec 10, 2024
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Health Prices Are Getting More Transparent, but It's Still Not Enough, Experts Say

Price data need to be specific, searchable, and easy, according to one expert

Nov 20, 2024
A photo of two yellow capsules and reading glasses lying on a hospital price list.
Opinion
The Trouble With Upcoding Extends Far Beyond Ethics

The practice reminds us that our healthcare system is failing patients and clinicians alike

Nov 11, 2024
A photo of a stethoscope lying next a tablet where a male physician has a medical coding spreadsheet open.
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