Healthcare reimbursement rates Archives

January 16, 2024
Blog, Healthcare News, Revenue Cycle Management
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CMS’ New Prior Authorization Rules: Impact on Medicare Advantage and Part D

The Medicare Advantage and Part D rule was implemented on January 1 by CMS. Despite the fact that the Medicare Advantage and Part D rule which came into effect on January 1, 2019 is now in effect, it is quite early to tell whether 2024 will be the year when providers finally overcome the challenges […]

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Federal Court Strikes Portions of Regulations Implementing No Surprises Act

On Wednesday, February 23, 2022, a federal court in Texas struck down five controversial portions of the interim final rule (“Rule”) jointly issued by three federal executive agencies (“Departments”) that implement the independent dispute resolution (“IDR”) process of the No Surprises Act (“NSA”). The portions of the Rule at issue set forth certain parameters […]

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The one trick to negotiating reimbursement rates

Honing your approach when negotiating with insurers can lead to better reimbursement rates. Last I checked my plumber charges me more than some physicians make for some services. It’s not to say that plumbers don’t work hard, but they certainly didn’t have to invest an inordinate amount of time and money to get specialized degrees. […]

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Tag: Healthcare reimbursement rates

CMS’ New Prior Authorization Rules: Impact on Medicare Advantage and Part D

Federal Court Strikes Portions of Regulations Implementing No Surprises Act

The one trick to negotiating reimbursement rates

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