Category: Revenue Cycle Management

pros-cons-of-non-emergency-medical-transportation-benefits

Pros, Cons of Non-Emergency Medical Transportation Benefits

MACPAC’s June 2021 report to Congress included findings about non-emergency medical transportation benefits in Medicaid programs that could prove useful for benefits design. A small fraction of the Medicaid population utilizes non-emergency medical transportation (NEMT) benefits, but for that community of beneficiaries NEMT programs can be indispensable, a MACPAC report recently found. It has been […]
Learn More
new-provider-relief-fund-rules

New Provider Relief Fund Rules Give More Time to Use, Report Money

HHS recently updated Provider Relief Fund reporting requirements, extending the period of availability of funds and reporting periods. The update to the Post-Payment Notice of Reporting Requirements states that clinicians now have a period of availability of funds based on the date they received the payment, rather than the original deadline of June 30, 2021. […]
Learn More
costs-continue-to-drop-on-federal-health-insurance-marketplace

Costs Continue to Drop on Federal Health Insurance Marketplace

Enrollees are taking advantage of the opportunity to secure lower out-of-pocket healthcare costs on the federal health insurance marketplace during the special enrollment period, a recent CMS report found. CMS Administrator Chiquita Brooks-LaSure, who was confirmed as CMS Administrator on May 25, pointed to the American Rescue Plan as central to this influx of enrollees […]
Learn More
emergency-physicians-call-united-healthcares-ed-denial-policy-dangerous

Emergency physicians call United healthcare’s ED denial Policy ‘Dangerous’

The American College of Emergency Physicians said that it “firmly believes that the new policy is in direct violation of the federal Prudent Layperson Standard.” Calling it a “dangerous decision” and a “scare tactic,” the American College of Emergency Physicians (ACEP) is condemning UnitedHealthcare’s recent announcement to retroactively deny emergency care claims. “ACEP firmly believes […]
Learn More
cms-increases-medicare-payments-for-at-home-covid-19-vaccinations

CMS Increases Medicare Payments for At-Home COVID-19 Vaccinations

  CMS will increase Medicare payments by $35 per dose to administer at-home COVID-19 vaccines in an effort to increase the vaccination rate among beneficiaries. Medicare payments will increase by $35 per dose for providers who administer at-home COVID-19 vaccinations for Medicare beneficiaries, CMS announced today. In alignment with President Biden’s goal of ensuring vaccine […]
Learn More
x