In possible violation of the No Surprises Act, health insurance company calculations of Qualifying Payment Amounts for anesthesiology, emergency medicine and radiology services – and possibly other specialty services – likely include rates from primary care provider contracts.
The U.S. Departments of Labor, Health and Human Services, and the Treasury have issued final rules concerning standards related to the arbitration process in implementing the No Surprises Act.
Jay Anders, MD, CMO at Medicomp Systems, explains how presenting relevant patient data by condition to clinicians can improve outcomes.
Home health agencies have written to the Centers for Medicare and Medicaid Services protesting the proposed 4.2% payment rate cut in the 2023 Home Health Prospective Payment System Rate Update and Home Infusion Therapy Services Requirements