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. 

Thumbnail

Slow progress on ICD-10

While the ICD-10 delay afforded organizations an additional year to prepare for the transition, many organizations are not taking advantage of that time, reports Workgroup for Electronic Data Interchange (WEDI).

Thumbnail

Congress urges HHS to update HIPAA mHealth guidance

The Department of Health and Human Services is long overdue to update its HIPAA guidance to better regulate the rapidly evolving mobile health industry market, according to two House representatives.

CMS schedules three testing weeks for ICD-10

The Centers for Medicare and Medicaid Services has announced that it will hold three separate testing weeks to allow trading partners (including physician practices, hospitals and other healthcare providers) the opportunity to try out submitting claims using International Classification of Diseases, 10th Revision (ICD-10) codes.

Thumbnail

AHA seeks changes in House bill to reduce fraud, waste and abuse in Medicare

The American Hospital Association (AHA) this week submitted comments to the U.S. House Committee on Ways and Means, Subcommittee on Health about the Protecting the Integrity of Medicare Act (PIMA), a bill that seeks to save the government money by making it harder to successfully defraud the system.

Thumbnail

Pharma pushes back against CMS implication that industry is behind problems with Open Payments system

As issues continue with the Centers for Medicare and Medicaid Services (CMS) system for collecting data on industry payments to physicians and making a physician-verified version of that data available to the public by September 30, the Pharmaceutical Research and Manufacturers of America (PhRMA) industry group says don’t blame industry for data problems.

Thumbnail

CMS to conduct three weeks of ICD-10 acknowledgment testing

The Centers for Medicare & Medicaid Services is planning three weeks of ICD-10 acknowledgment testing for covered providers.

Beneficiaries now also suing about long wait for Medicare appeals hearings

Earlier this year, the American Hospital Association (AHA) and three hospital and healthcare systems sued the U.S. Department of Health and Human Services (HHS) over the long backlog in Medicare claim denial appeals. Now patients are joining in with a nationwide class action suit.

Thumbnail

Counihan to take helm of HealthCare.gov

The Centers for Medicare & Medicaid Services has hired Kevin Counihan, Connecticut’s Health Insurance Exchange CEO, to lead the national health insurance marketplace.

Around the web

The American College of Cardiology has shared its perspective on new CMS payment policies, highlighting revenue concerns while providing key details for cardiologists and other cardiology professionals. 

As debate simmers over how best to regulate AI, experts continue to offer guidance on where to start, how to proceed and what to emphasize. A new resource models its recommendations on what its authors call the “SETO Loop.”

FDA Commissioner Robert Califf, MD, said the clinical community needs to combat health misinformation at a grassroots level. He warned that patients are immersed in a "sea of misinformation without a compass."

Trimed Popup
Trimed Popup