Policy & Regulations

This channel includes news coverage of healthcare policy and regulations set by Congress, the states, Centers for Disease Control and Prevention (CDC), the Department of Health and Human Services (HHS), U.S. Food and Drug Administration (FDA), and medical associations and societies. 

Latest WEDI ICD-10 survey finds physician practices struggling

Almost one-quarter of physician practices that responded to the Workgroup for Electronic Data Interchange's (WEDI) most recent ICD-10 readiness survey will not be ready and another one-quarter said they are unsure.

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CMS paying 6,000-plus doctors bearing ‘credentials’ from defunct medical schools—but it’s not as bad as it looks

In order to bill Medicare—in fact, just to be eligible to practice medicine—a physician must hold a degree from an accredited medical school. Yet Medicare’s provider database contains the names of more than 6,000 doctors whose credentials trace to medical schools that have been out of business for decades. 

CMS, AMA issue ICD-10 flexibility guidance

Following up on the announcement from the Centers for Medicare & Medicaid Services and American Medical Association on ICD-10 flexibility, the organizations have issued a comprehensive guidance for physicians.

Latest ICD-10 bill calls for six months of dual coding

It's not over 'til it's over. Another bill related to ICD-10 has been introduced--this one aims to allow for dual coding for six months after the Oct. 1 transition deadline.

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Finally moving forward

The American Medical Association (AMA) has finally shifted from fighting ICD-10 implementation to efforts to help physicians be ready in time for the Oct. 1 deadline. 

Did Medicare just restart the ‘death panels’ debates?

Six years after former Alaska Gov. Sarah Palin famously warned Americans about the approach of “death panels” if the Affordable Care Act passed into law, the political firestorm that subsequently flared up and died down may be about to re-ignite.

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ICD-10 end-to-end testing week yields very good results

During the latest and third ICD-10 end-to-end testing week, the Centers for Medicare & Medicaid Services accepted 90 percent of submitted claims. 

AMA working with CMS to ready providers for ICD-10

The American Medical Association has finally shifted from fighting the ICD-10 implementation to efforts to help physicians be ready in time for the Oct. 1 deadline. 

Around the web

The tirzepatide shortage that first began in 2022 has been resolved. Drug companies distributing compounded versions of the popular drug now have two to three more months to distribute their remaining supply.

The 24 members of the House Task Force on AI—12 reps from each party—have posted a 253-page report detailing their bipartisan vision for encouraging innovation while minimizing risks. 

Merck sent Hansoh Pharma, a Chinese biopharmaceutical company, an upfront payment of $112 million to license a new investigational GLP-1 receptor agonist. There could be many more payments to come if certain milestones are met.