UnitedHealthcare is fulfilling its pledge to reduce prior authorization requirements by 30% by the end of the year. Starting October 1, the insurer will no longer require approval for more than 1,700 procedure codes across various plans. Read More »
One of the biggest operational hurdles that organizations have encountered since the first round of cuts to the IPO list has been helping physicians shift their mindset from traditional practices to new expectations, according to Stephanie Ellis, RN, BSN, COC, CHRI, CRCR, ...Read More »
CMS is moving forward with it’s plans for a mandatory nationwide rollout of the Comprehensive Joint Replacement Expanded (CJR-X), according to the 2027 Inpatient Prospective Payment System (IPPS) final rule.Read More »
CMS is considering fundamental changes to how it pays for professional services, according to the 2027 Medicare Physician Fee Schedule (MPFS) proposed rule. The proposed rule, released July 14, describes numerous potential changes to payments, codes, coverage, and more.Read More »
Hospitals could be facing lower reimbursement for non-drug items and services, 340B drugs, excepted off-campus provider-based department (PBD) services, as well as additional price transparency and prior authorization requirements, according to CMS’ 2027 Outpatient Prospective Payment System (...Read More »
