ADVOCATE

In the early days of the pandemic, the Families First Coronavirus Response Act (FFCRA) mandated that Medicaid beneficiaries could not be disenrolled from Medicaid during the pandemic’s public h...

https://advocatercm.com/medicaid-disenrollment-surpasses-hhss-projections/

On Friday, March 15th, the Medicare Payment Advisory Commission (MedPAC) released the first of its two annual reports to Congress on Medicare payment policy. MedPAC is a nonpartisan Congression...

https://advocatercm.com/medpac-march-2024-report-released/

UnitedHealth Group (UHG) is slowly bringing its clearinghouse network back online as it continues its response to the cyberattack that occurred over a month ago. According to its webpage dedica...

https://advocatercm.com/unitedhealth-group-is-slowly-restoring-clearinghouse-connectivity/

On January 12, 2024, the Department of Health and Human Services (HHS), the Department of Labor (DOL), and the Department of the Treasury (collectively, the Departments) updated the No Surprise...

https://advocatercm.com/new-federal-independent-dispute-resolution-idr-administrative-fee-and-certified-idr-entity-fee-ranges-posted/

On January 29th, the Centers for Medicare & Medicaid Services (CMS) reported an increased participation in its Accountable Care Organization (ACO) initiatives for 2024. Among the updates, C...

https://advocatercm.com/aco-participation-continues-to-grow-into-2024/

On January 17th, the Centers for Medicare and Medicaid Services (CMS) published its much-anticipated final rule on how Medicare Advantage (MA) plans, Medicaid plans, and Affordable Care Act (A...

https://advocatercm.com/cms-published-final-rule-to-streamline-prior-authorization-for-medicare-advantage-medicaid-and-aca-plans/

Important Information – Compliments of ReedSmith For decades, radiology groups and other providers and suppliers had to jump through all the hoops required for Medicare enrollment when billing ...

https://advocatercm.com/new-and-improved-processes-when-billing-medicare-for-reassigned-teleradiology-services/

On January 25, the Centers for Medicare and Medicaid Services (CMS) published a Request for Information (RFI) on increasing transparency and data capabilities within the Medicare Advantage (M...

https://advocatercm.com/cms-issues-an-rfi-for-medicare-advantage-centered-on-transparency-and-data-capabilities/

To start the new year, MedPAC voted on its annual payment recommendations which will be included in the Commission’s March Report to Congress. Notably, MedPAC recommended that Congress ...

https://advocatercm.com/medpac-votes-on-2025-payment-recommendations/

President Biden signed legislation on Saturday, March 9th that will offset by 1.68% the current Medicare Physician Fee Schedule reimbursement reduction of 3.37%, resulting in a net reimbursement ...

https://advocatercm.com/medicare-reimbursement-cuts-partially-offset/