CMS reevaluating hospital outpatient pay rate cut exemptions
Providers were denied exemptions are no longer required to report or return overpayments, the agency said.
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Providers were denied exemptions are no longer required to report or return overpayments, the agency said.
Modern Healthcare Illustration / Getty Images With five months before the surprise billing ban takes effect, the Biden administration hasn't released many of the most important details about how the No Surprises Act will work, leaving providers and insurers little time to plan for the changes. CMS' first rule outlawing balance billing contained expected patient protections against surprise billing and high cost-sharing for out-of-network care, as outlined in the December law. But providers and insurers are still in the dark about the independent dispute resolution process and how regulators w...
Tennessee lawmakers this session have sought modest changes to the stateâs telehealth laws, adding capabilities for behavioral health and safety-net providers to leverage after health care regulations are put back into place post-pandemic. Gov. Bill Lee last week signed a bill sponsored by Sen. Todd Gardenhire (R-Chattanooga) and Rep. Iris Rudder (R-Winchester) that expands the point of care for behavioral health services to a patientâs home. The legislation effectively clears the way for insurance reimbursement for telehealth services that have in the past year and change benefited...
Share it Editor's note: This story is part of a series on the trends that will shape the industry in 2021. You can find all the articles on our trendline. For a look at the business trends affecting other industries, see the Dive Outlook on 2021. The coronavirus pandemic set in motion a cascade of changes in healthcare, and no sector was impacted more than digital health. The fledgling industry rapidly accelerated as COVID-19 changed technology helping patients receive care outside of the hospital or doctor's office into a necessity, instead of a luxury. That acceleration has continued into ...