In 2023, numerous budget cuts are set to go into effect. As the law currently stands, the Budget Control Act 2% sequestration will resume in the new year, and alongside it will come both an impending statutory 4% Pay-As-You-Go (PAYGO) cut and a budget neutrality...

On Aug 19th, the Final Rule of the No Surprises Act was released. Needless to say, this has been a long time coming; over the past year, we’ve covered the many twists and turns the NSA has taken since its initial stages, including edits made to confusing language and,...

As we discussed in last month’s post, on July 7th, the Centers for Medicare and Medicaid Services (CMS) released their 2023 Medicare Physician Fee Schedule (PFS) Proposed Rule that, if enacted as written, will shift the landscape of the industry. In our first post on...

There’s big news in the world of medical billing. CMS has released a proposed rule that would completely eliminate the use of documented history and exams for determining the level of service for care provided in the emergency department. In other words, although...

Supply shortages have rocked the world in the past few years. Everything from computer parts to couches suddenly have waiting lists, and though life seems to be returning to a sort of pre-pandemic normal, the bumpy transition has brought continuing shipping shocks and...

The No Surprises Act is continuing its implementation, gradually working out all of its issues and solidifying its place in the healthcare landscape. Over the past months, we have kept you up to date with all of the twists and turns this legislation has taken, and...

Lately, there has been a trend of people from outside the political sphere running for political office on both sides of the aisle. Chief among these outsiders are people working in the medical field, who seem to be taking to the Capitol by storm. Doctors, physicians,...

We’ve previously detailed how recent legislation has impacted healthcare markets, ranging from the new processes brought about by the No Surprises Act (NSA) to the various changes brought about by legal alterations to the Independent Dispute Resolution (IDR) process....

In the past two years since the onset of the pandemic, providers have benefited from payments by the Provider Relief Fund. This fund was designated for providers who experienced lost revenues and increased expenses during the pandemic, and money was allocated to those...

As we progress further into the new year, many of the proposed changes that we’ve documented over the past year are coming into effect. Today, we’re going to examine a specific part of the insurer-payee relationship as it stands in 2022: IDR, or Independent Dispute...