In a recent press release, it was announced that Optum has completed its merger with Change Healthcare. Healthcare providers and payers can look forward to a simpler clinical, administrative and payment process that the merger aims to resolve. Continue reading to learn more about the merger and what it entails. Optum has completed its $7.8…
When it comes to billing models, there are two options for physicians to be reimbursed. A study found that there are certain factors that determine which option may be best. Continue reading to learn about the differences in reimbursement and revenue for physicians. A study examines the differences in reimbursement for medical decision-making (MDM) billing…
After a unanimous decision from the House, The Improving Seniors’ Timely Access to Care Act now makes its way to the Senate. The act aims to make the request process easier by establishing an electronic prior authorization program. Continue reading to learn about what the act would entail if passed by the Senate. The Improving…
After the significant increase of beneficiaries using telehealth services since the start of the COVID-19 pandemic, audits revealed that some providers posed a high risk to program integrity. Despite these concerns, the audits demonstrate the success of telehealth during the COVID-19 pandemic and the years following. Read more about the audit results and what this…
Enrolling in Medicaid and CHIP may be easier with new rules proposed by the Biden administration. The proposed rules will ensure that everyone will have access to healthcare by removing obstacles that may have interfered before. Read more to find out what this proposed rule entails. The federal agency is striving to make it easier…
As we transition into a post-pandemic outlook on COVID-19, more people are filing medical claims. For employers, this means a hefty increase in healthcare costs due to nationwide inflation. Read more about the projected healthcare cost increase and how it may impact you. Healthcare costs for employers are set to increase to more than $13,800…
Over-the-Counter Hearing Aids could become more affordable for those in need as early as mid-October. Read more about the FDA’s ruling and how this decision will help expand access to high-quality health care and lower health care costs for the American public. Today, the U.S. Food and Drug Administration issued a final rule to improve…
Medicare recently proposed a new physician pay schedule, PFS, that will alter the status of things like telehealth and billing services. This is set to go into effect in the coming year. For a look at a summary of the PFS, continue reading. The proposed 2023 Medicare Physician Payment Schedule (PFS) rule contains a mix…
Medicare physician payment cuts will go into effect on January 1, 2023. Continue reading below to learn why many physicians are reaching out to their legislators to stop these cuts from happening. Members of Congress will be heading home for their August recess and the AMA is urging physicians to reach out to their legislators…
Progression in the passing of “The Improving Seniors’ Timely Access to Care Act of 2022” has been made. Lawmakers have come to an agreement on taking the next steps in the process. Passing this could allow Medicare users to get access to necessary tools quicker by ridding prior-authorization steps. Continue reading to learn more about…