CMS has started auditing a sample of hospitals for compliance with the price transparency rule, an agency spokesperson confirmed to Becker’s Hospital Review. Under the rule, which took effect Jan. 1, ...
Angela Palo is COO of Pinnacle Financial Services, a leading National Medicare Brokerage, and member of the NABIP Medicare FMO Council. For several years, I was the compliance officer at my agency. It ...
The feds have set new deadlines for compliance with Medicaid renewal requirements given widespread enrollment concerns during the unwinding. In a new notice (PDF), the Centers for Medicare & Medicaid ...
The Centers for Medicare & Medicaid Services (CMS) has fined two hospitals in September for alleged violations of its price transparency rule. This marks the third month in a row that the agency has ...
The Trump administration is aiming to roll back limits on the plan designs insurers can offer on the Affordable Care Act's ...
Price transparency adherence may become more complex in 2024. CMS recently released the 2024 OPPS proposed rule, and among the yearly payment rate changes, CMS proposed changes to its price ...
Oversight of the COVID-19 vaccination mandate covering healthcare facilities participating in Medicare and Medicaid will no longer be part of all CMS surveys. The agency, in a memo sent to state ...
The CMS is proposing to loosen the rules so insurers can offer more flexible, customizable health plan options.
The CMS Final Rule signals a future in which prior authorization isn’t just faster but fairer. AI has the potential to accelerate decisions, lower administrative costs and support equitable access to ...
Inspectors for the Centers for Medicare & Medicaid Services will no longer check for provider compliance with the staff COVID-19 vaccine mandate during all surveys. The agency, in a memo to state ...