29 December 2020: Industry News Updates

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AdvantEdge Healthcare SolutionsHouse and Senate Announce Surprise Billing Agreement
On December 11, 2020, the House and Senate committee announced a bipartisan agreement on surprise medical billing that will establish a fair framework to resolve payment disputes between health care providers and health insurance companies. Rest of article

4 December 2020: Industry News Updates

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AdvantEdge Healthcare SolutionsRule Finalized Forcing Payers to Post Negotiated Rates, Cost-sharing Data

The Trump administration has finalized a rule that will require private insurers to provider members with upfront prices – including real-time cost-sharing estimates – that they have negotiated with providers. The details are still being worked out, but a time table of how the rule will go into effect is outlined.
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20 November 2020: Industry News Updates

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AdvantEdge Healthcare SolutionsHHS Reverts Reporting Requirements for Provider Relief Fund

In September, HHS updated new reporting requirements for the Provider Relief Fund that raised concern throughout the healthcare industry. After multiple discussions with the provider community and congress HHS is now amending the guidance change to eliminate the risk of letting any of the $175 billion in PRF go unused. Even though HHS is taking a step back on the requirements created in September, it is not a complete reversal.
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10 November 2020: Industry News Updates

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Roche Diagnostics USATweetorial Tuesday

Check out Tweets on VENTANA pan-TRK (EPR17341) Assay by #RocheDiagnosticsUSA at #NTRK on their #TweetorialTuesday. Click the link to check out the tweets with images of cases stained with pan-TRK IHC and multiple-choice questions! Follow @RocheDiaUSA on twitter.
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6 November 2020: Industry News Updates

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AdvantEdge Healthcare SolutionsCMS Expands Accelerated and Advance Payment (AAP) Program

The Centers for Medicare & Medicaid (CMS) announced it would alter the Accelerated and Advance Payment (AAP) program’s repayment terms. The new repayment updates are as follows: Delay disbursement recoupments to one year from the date the payment was issued. After that first year, Medicare will automatically recoup 25 percent of Medicare payments otherwise owed to the provider or supplier for eleven months.
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23 October 2020: Industry News Updates

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Roche Diagnostics Medical and Scientific Affairs TeamDown the Ocular
Listen to Drs. Bharathi Vennapusa and Tabari Baker from Roche Diagnostics MSA discuss various topics related to NTRK gene fusion testing on Down the Ocular podcast series including methodologies and recommendations for identifying patients with IHC testing prior to NGS confirmation. Click here to listen and don’t forget to subscribe to Down the Ocular podcast series!

13 October 2020: Industry News Updates

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AdvantEdge Healthcare SolutionsProvider Relief Fund Report Requirements Update
The U.S. Department of Health and Human Services (HHS) released additional information outlining reporting requirements for health care providers who received and accepted funding exceeding $10,000 from the Provider Relief Fund. The essential guidelines are summarized in this article: Rest of article

27 August 2020: Industry News Updates

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AdvantEdge Healthcare SolutionsProposed Rule – 2021 Medicare Physician Fee Schedule
On August 3rd, the Centers for Medicare and Medicaid Services (CMS) published the 2021 Medicare Physician Fee Schedule, which includes CMS only allowing a comment period of 30 days for the draft (instead of the normal 60 day period). Rest of article

30 July 2020: Industry News Updates

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AdvantEdge Healthcare SolutionsFAQs Medicare fee-for-service billing
CMS released an updated COVID-19 FAQ on Medicare fee-for-service billing for COVID-19 related services. The policies in the article are effective for the duration of the PHE unless superseded by future legislation. With 41 sections and over 200 questions and answers, we highlighted key information. Rest of article

20 July 2020: Industry News Updates

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AdvantEdge Healthcare SolutionsPathology Billing Tipsheet: 4 Ways to Reduce Billing Errors and Increase Revenue
Pathology billing and coding have complex regulations and rules, and there are many steps involved. Mistakes can occur at many points in “front-end” and “back-end” processes and can reduce collections by five percent or more, costing a typical practice or department hundreds of thousands of dollars, and frequently more. Mistakes also increase days in A/R, delay reimbursement and lead to compliance violations or fines. Rest of article