News
HHS is proposing to adopt certain HL7 FHIR standards and implement specifications for transactions related to prior authorizations.
The proposed rule would also make the Comprehensive Care for Joint Replacement (CJR) Model mandatory beginning on Oct. 1, 2027.
Close to 5,000 member hospitals can now access a vetted breach recovery playbook to keep care running.
Nineteen states and D.C. are seeking to invalidate a March 2025 directive to reduce the number of HHS employees and eliminate several sub-agencies.
Aetna's policy results in denials and underpayment and violates CMS' Two Midnight Rule, the health system says.
The proposed payment increases of 2.3% for psychiatric care and 2.4% for rehab are lower than last year's final rule increases.
This compares with last year's final rate of 3.2%.
Close to 60% of providers who responded to an HFMA survey say they have yet to implement AI or automation in the revenue cycle.
CMS proposed payment rule follows a call for new oversight of hospice provider fraud.
CMS says it considered comments after proposing a 0.09% increase in the Advance Notice.