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Sheppard Mullin Richter & Hampton LLP | USA | 30 Nov 2022

Finding Our Way Out of the Pandemic Haze: What Telehealth Tools Are Medicare Providers Allowed to Keep, and Which Must They Leave Behind?

During the COVID-19 pandemic, Medicare coverage expanded to include a vast arsenal of tools that help patients access medical services while keeping…
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Powers Pyles Sutter & Verville PC | USA | 28 Nov 2022

Changes to Telehealth, Behavioral Health Integration, and Remote Monitoring Services Under the CY 2023 Medicare Physician Fee Schedule Final Rule

The 2023 Medicare Physician Fee Schedule (PFS) Final Rule (Final Rule), was issued on November 2 and published in the Federal Register on November 18…
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Holland & Knight LLP | USA | 22 Nov 2022

Holland & Knight Health Dose: November 22, 2022

Democrats will retain control of the Senate in the 118th Congress, after key races in Arizona and Nevada were called in their favor. The Georgia…
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Hall Benefits Law | USA | 21 Nov 2022

AMA Joins ERISA Class Action Alleging CIGNA Refuses to Honor Discount Contracts

Plaintiffs filed an amended complaint in a pending ERISA class action lawsuit to include state law claims by the American Medical Association (AMA)…
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Ankura Consulting Group, LLC | USA | 18 Nov 2022

ICD-10-CM Changes and What to Expect in 2023

Last month, healthcare coders saw changes to the ICD-10-CM guidelines that included over 1,100 new diagnoses for FY2023. Further changes are expected…
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Holland & Knight LLP | USA | 15 Nov 2022

CMS Releases 2023 Hospital OPPS and ASC Payment System Final Rule

The Centers for Medicare & Medicaid Services (CMS) on Nov. 1, 2022, released the calendar year 2023 Hospital Outpatient Prospective Payment…
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McDermott Will & Emery | USA | 8 Nov 2022

CMS Clarifies Coverage and Payment for Remote Therapeutic Monitoring Services

On November 1, 2022, the US Centers for Medicare & Medicaid Services (CMS) released the calendar year (CY) 2023 final rule for services reimbursed…
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K&L Gates LLP | USA | 9 Aug 2022

Litigation Minute: Cigna's Modifier 26 Reimbursement Policy

Many Florida hospital-based pathology groups have long-standing provider agreements contracts with Cigna. These contracts - specifically the…
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Squire Patton Boggs | USA | 15 Dec 2021

AMA and AHA Challenge IDR Process under the No Surprises Act

The American Medical Association and the American Hospital Association filed suit under the Administrative Procedure Act in the District of Columbia…
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Carpenter Wellington PLLC | USA | 1 Dec 2021

Corporate Governance Essentials: The Audit Committee

All publicly traded companies listed on the New York Stock Exchange (NYSE) or Nasdaq must have an audit committee. It is an…
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