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. 

CMS names ICD-10 ombudsman

William Rogers, MD, director of the Physicians Regulatory Issues Team at the Centers for Medicare & Medicaid Services, has been named ICD-10 ombudsman.

August 31, 2015

AHA issues ICD-10 countdown checklist

With just over a month to go until the Oct. 1 ICD-10 deadline, the American Hospital Association has released a checklist of key steps that hospitals should take to ensure a successful transition.

August 18, 2015

Medicare’s 3-day hospital stay better off waived: analysis

Medicare has long required a three-day hospital stay before it will pick up the tab for a senior to move into a skilled nursing facility. A new data crunch shows that waiving this prerequisite shortens costly and risky hospital stays—without driving up admissions to skilled nursing facilities or lengthening stays therein.

August 14, 2015

AHA implores feds to put Anthem-Cigna through the wringer

The American Hospital Association is urging the U.S. Department of Justice to take a hard look at Anthem’s planned $48.4 billion purchase of Cigna.

August 7, 2015

Transparency in clinical trials proving effective at advancing science rather than careers

Researchers are as subject to human nature as anyone else and so may be inclined to only publish, or at least to slant study design and conclusions toward, positive results of clinical trials. 

August 7, 2015

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. 

June 30, 2015

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.

June 4, 2015
Medicare Provider

Medicare payment changes may become permanent

The U.S. House of Representatives may vote next week to permanently change the made Medicare pays hospitals and physicians, The Hill reports.

March 11, 2015

Around the web

Cardiovascular Associates of America, backed by Webster Equity Partners, currently includes practices in eight different states. Its partner cardiologists now have preferred access to multiple cloud-based services provided by Athenahealth. 

The American Society of Nuclear Cardiology (ASNC) supports an AMA policy that condemns the use AI to make prior authorization decisions rather than a doctor or clinician.

The past five years have been boom times for AI startups courting venture investors in healthcare, and the good times just keep rolling.

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