Billing News Apr 2018



CMS Proposes Regulation to Alleviate State Burden

  • April 24, 2018

CMS issued a notice that allows state flexibility from certain regulatory requirements within the Medicaid program. This is aimed to give states more freedom to design their own programs and reduce the administrative burden.

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CMS finalizes coverage of Next Generation Sequencing tests, ensuring enhanced access for cancer patients

  • April 24, 2018

CMS finalized coverage for diagnostics laboratory tests for patients with advanced cancer. These tests can assist providers in making more informed decisions.

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Trump Administration Announces MyHealthEData Initiative to Put Patients at the Center of the US Healthcare System

  • April 24, 2018

MyHealthEData is a new Trump Administration initiative to allow patients more control of their healthcare data. It reduces barriers for patients to access their data, and allows patients to choose the provider they want to give access.

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Congress Boosts NIH Funding to $37.1B in New Spending Bill

  • April 24, 2018

Congressional leaders last night released a spending bill that includes a $3 billion increase in funding for the National Institutes of Health, bringing the agency's fiscal year 2018 budget to $37.1 billion.

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Patient Financial Responsibility Increased 11% in 2017

  • April 24, 2018

According to a TransUnion Healthcare analysis, the average out-of-pocket cost for patients increased from $1630 in 2016 to $1813 in 2017. This is leading to an increased need in third-party billing solutions to assist in automation of patient billing.

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EHR Adoption Does Not Lower Administrative, Medical Billing Costs

  • April 24, 2018

According to a recent study by the Journal of the American Medical Association, the increased adoption of EHR did not lead to reduced medical billing costs. Although EHRs has proven to show efficiency in some organizations, the complexity and inefficiency of payor contract variations, rules and pricing structures is still a barrier.

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CMS Final Coverage Policy for NGS Cancer Panels Eases Some Lab Industry Concerns

  • April 23, 2018

The US Centers for Medicare & Medicaid Services on Friday reined in a national coverage proposal for next-generation sequencing oncology panels that had the lab industry worried that they'd have to successfully take their tests through US Food and Drug Administration's review if they hoped to secure Medicare coverage and had cancer patients...

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CMS Approves CureOne Registry to Collect MIPS-Related Metrics Around Cancer Molecular Testing

  • April 23, 2018

The US Centers for Medicare & Medicaid Services has approved CureOne's N1 Registry as a repository to which doctors can submit data and show that they are meeting quality metrics around cancer biomarker testing tied to payment.

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