CMS Raises the Stakes on Price Transparency Compliance: issues new civil monetary penalties

Due to widespread noncompliance with the Health Care Transparency Act, CMS has launched proactive audits of hospital websites. Warning letters are being sent and monetary penalties may be administered

man looks at a bill with a worried face

No Surprises Act “Part 1” Regulation Issued

The “No Surprises Act”, was incorporated into the Consolidated Appropriations Act of 2021, becomes effective on January 1, 2022 with the first regulations, dubbed “Part 1”, being released on July 1, 2021 in an “Interim Final Rule with Comment Period.”

computer generated image of Covid-19 virus in tube lined with 0s and 1s

Billing for COVID-19: Updated August 17

The COVID-19 pandemic continues to cause extreme financial hardship for hospitals, health systems and all providers. Falling operating margins and increasing denials make it even more important to stay abreast of regulatory changes regarding COVID-19.

Doctor with stethoscope in front of Illinois state flag

Five Tips to Working with Blue Cross and Blue Shield of Illinois

Completing Medi-Cal forms can be challenging. Knowing what form to use based on the scenario and the time of request is important. There is also an alternative to the handwritten requirement.

Accurate Coding for Vaccines | 90471, 90472 and more|

From flu to tetanus, and now COVID-19, vaccines are among the most common outpatient procedures providers administer on a day-to-day basis. But they can also be complex to code and bill, and undetected mistakes can result in continual underpayment for services rendered.