Industry News

Medicaid expansion under the Affordable Care Act has driven demand for managed-care services in most states, and most recent federal data found that 53.9 million

Over the past few years, the number of people enrolled in Medicare Advantage has exploded, thanks to an aging population that prefers the extra benefits

CMS has announced an extension of the Special Enrollment Period (SEP) with HealthCare.gov until August 15, 2021. The plan provides new and current enrollees an

The federal government’s new rule on “Interoperability and Information Blocking” (21st Century Cures Act) requires doctors to give patients access to their notes and takes

As a reminder, the new Evaluation & Management documentation and coding guidelines go into effect January 1, 2021. The new documentation guidelines allow for the

Aetna has announced an expansion of their “Third-Party Claim and Code Review Program” to take effect March 1, 2021. While details of the expansion are

Updated January 20, 2021 Cigna announced the extension of the cost-share waiver for COVID-19 diagnostic testing and related office visits through April 20, 2021. Cigna

Updated in January 2021, CMS plans to continue the expansion of telehealth services along with a level of monitoring. Per the OIG: Telehealth is playing

The AMA has expedited the addition of two new CPT codes “to meet the needs of the health care industry as medical advancements expand the