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. 

Xerox Medicaid Management Information System Receives Federal Certification

 Xerox’s (NYSE: XRX) Health Enterprise platform, a next-generation Medicaid Management Information System (MMIS), has received full federal certification in New Hampshire. 

AHIMA launches fight against ICD-10 grace period

The American Health Information Management Association (AHIMA) has launched a campaign opposing the Protecting Patients and Physicians Against Coding Act. 

State medical societies on ICD-10: 'Looming disaster'

The four largest state medical societies have come together to warn the Centers for Medicare & Medicaid Services (CMS) that the Oct. 1 ICD-10 implementation deadline is a “looming disaster.” 

Most providers have yet to conduct ICD-10 testing

The majority of providers have not yet conducted ICD-10 testing, according to a survey by the American Health Information Management Association and eHealth Initiative. 

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Coalition sees negative consequences in ICD-10 grace period

Recent efforts to establish a grace period around the ICD-10 transition will have "far-reaching, negative consequences," according to the Coalition for ICD-10.

New ICD-10 bill would provide two-year grace period

Attempts to impact the ICD-10 transition keep coming with a third attempt in about a month now aiming to provide a two-year grace period for providers submitting claims. 

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Lawmakers to CMS: Create an ICD-10 contingency plan

An ICD-10 contingency plan is needed in case the Centers for Medicare & Medicaid Services (CMS) is unable to process the new codes, members of Congress said in a letter to Acting Administrator Andy Slavitt.

New Release of 3M ICD-10 Code Translation Tool Includes CPT®/HCPCS Codes

SALT LAKE CITY, Utah—June 3, 2015—To help hospital organizations and physician practices convert systems, reports and records into the language of ICD-10, 3M has released a new version of the 3M ICD-10 Code Translation Tool, which has been expanded to include Current Procedural Terminology (CPT®) and other HCPCS codes.

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.