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Latest News & Web Pages
The Ghost in the Machine (Readable Files): Proposed Transparency in Coverage Amendments Attempt to Shed Additional Light on Health Plan Data
1+ hour, 16+ min ago (751+ words) For MRFs,[3] the Departments focuses on: Reporting of Product type" " New " The Departments also propose to add a requirement for plans and issuers to report the product type (e.g., Health Maintenance Organization (HMO) or Preferred Provider Organization (PPO)) associated with the…...
CAA 2026: NPI and Attestation Requirements for Off-Campus Provider-Based Departments to Avoid Losing Medicare Reimbursement
3+ hour, 19+ min ago (153+ words) Section 6225 of the Consolidated Appropriations Act of 2026 (CAA 2026), enacted on February 3, 2026, fundamentally changes Medicare's treatment of hospital off-campus provider-based departments. CAA 2026 eliminates that discretion. Attestations will no longer be optional compliance tools; they become statutory prerequisites to Medicare payment. Likewise,…...
Medicare's 3-Day Hospitalization Requirement Prolongs Length of Stay
5+ hour, 20+ min ago (235+ words) Reinstatement of Medicare's 3-day hospitalization requirement increased inpatient stays, without reducing SNF utilization. HealthDay News " Reinstating Medicare's three-day hospitalization requirement was associated with longer inpatient stays, with no change in skilled nursing facility (SNF) utilization, according to a study published…...
Got an Audit Letter? Here’s What Every Health Care Provider Should Do
6+ hour, 39+ min ago (240+ words) They break down how to respond to audits, when to See'more'+ What should you do when an audit letter lands on your desk? Should you review records before sending them? What happens if you disagree with the results or owe…...
Medicaid caps sought for unionized nursing homes that hire family
10+ hour, 13+ min ago (710+ words) State officials are asking lawmakers to craft a bill that would allow the Department of Social Services to limit Medicaid payments for unionized nursing homes whose owners hire family members at inflated salaries. Medicaid reimbursements would be capped at the…...
Moffitt will be out of network for Humana Medicare Advantage PPO plans
10+ hour, 39+ min ago (383+ words) Effective July 1, Moffitt Cancer Center will be out of network for Humana's Medicare Advantage PPO and HMO plans, the Tampa-based facility announced this month. The change comes seven months after Aetna's Medicare Advantage PPO and HMO plans dropped Moffitt from…...
This Medicare Mistake Can Devastate Unprepared Retirees
11+ hour, 1+ min ago (443+ words) Original Medicare covers many important retirement healthcare needs but has gaps. You'll likely need additional health insurance to keep your costs manageable. Always review all the health insurance plans available to you to find the best deal. It's no secret…...
Adonis 2026 Revenue Cycle Management Report: Payer Denials and Reimbursement Pressure Now the Top Drivers of Healthcare Revenue Risk
12+ hour, 13+ min ago (221+ words) NEW YORK, Feb. 19, 2026 /PRNewswire/ --Adonis, a leading revenue cycle technology company, today released its 2026 State of Revenue Cycle Management Report, an annual benchmark study of revenue cycle leaders across hospitals, health systems, and provider groups. The data also indicates a…...
Medicare Advantage Beneficiaries Face Involuntary Disenrollment After 2026
14+ hour, 4+ min ago (33+ words) Subject of Research: Medicare Advantage plan market exits and their implications for beneficiary disenrollment in 2026. Article Title: Not provided. News Publication Date: Not provided. Web References: Not provided. Image Credits: Not provided....
NES improves Critical Referral Program for customers with medical needs
15+ hour, 19+ min ago (217+ words) NASHVILLE, Tenn. (WKRN) " After January's winter storm, Nashville Electric Service has been under fire for leaving customers with medical devices stranded with no power, but the utility announced that's all about to change. NES is making some upgrades to their…...