The combination of size, capital and lack of regulatory pressures seemingly make UnitedHealth Group too big to fail, placing the burden on providers to protect
Each element of the rules has a specific portion to pay close attention to. 42 CFR Subpart C lays out the rules for “Suspension of
Rumors persist of possible leadership changes at some Medicare Advantage plans in the mid-South region. From where I sit, which is very close to the
A recent survey has illustrated just how onerous the various federal regulations of healthcare have become. If you’re feeling extra productive and accomplished this morning
Always challenge the extrapolation. It is my opinion that extrapolation is used too loosely in healthcare audits. What I mean is that sample sizes are
A timely update on the NSA and the AEOB. In August, the administration published the final final rule on the No Surprises Act’s Independent Dispute
Although the Biden Administration claims this is the final regulation, there is evidence more is yet to come. The Biden administration released the final No
CMS has specific guidelines when defining “incident to” and shared visits. Recently, I was working with a client to help them understand “incident to” billing.
Covid, OPPS and medical necessity certificates are reported here. There is good news on the COVID-19 public health emergency (PHE) front. We now know the
Lots to report in this regulatory update. Last week we heard that another major insurer is doing what one insurer did last year to a
The week of July 11 was one that was full of regulatory excitement. As expected, the U.S. Department of Health and Human Services (HHS) extended
Conduct yields looming regulatory questions. EDITOR’S NOTE: Bryan Nordley is the MedLearn Publishing healthcare writer and editor In January, the saga of Elizabeth Holmes and
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