Industry News

September 20, 2017

More Action Needed – 10 Days Until the Health Center Funding Cliff

Health centers and the patients they serve are counting on you and your advocacy to move Congress to fix the cliff! In just 10 ...

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October 27, 2016

UCLA Study Looks at Number of CHC Uninsured Patients Post ACA

Community health centers are serving millions more people than they did before passage of the Affordable Care Act, according to a new national study ...

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April 19, 2016

CMS launches largest-ever multi-payer initiative to improve primary care in America

CMS recently announced its largest-ever initiative geared to improve how primary care if delivered and payed for in America. Scheduled to launch January 2017, ...

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July 29, 2015

Bill Proposes Medicare Common Access Card

  Bills calling for a Medicare Common Access Card were submitted in the U.S. House of Representatives and U.S. Senate. The bill proposes a ...

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May 13, 2015

Cutting Costly Codes Act Attempts to Delay ICD-10

Ted Poe (R-Tex.), along with 6 co-sponsors, proposed a House bill to delay the government-mandated transition to the International Classification of Diseases ICD-10 diagnostic ...

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May 5, 2015

HHS Announces $101 Million in Affordable Care Funding For CHCs

Health and Human Services Secretary Sylvia M. Burwell announced today approximately $101 million in Affordable Care Act funding to 164 new health center sites. ...

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April 15, 2015

“Doc Fix” Bill passes Senate… no more patches for this leaky boat

Last night the U.S. Senate voted 92-8 to prevent cuts in payments to Medicare patient providers. It came right down to the wire, as ...

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March 27, 2015

House Approves Full Funding for CHC’s

The recent Medicare funding bill was passed in the House of Representatives yesterday but today the Senate announced that they would not vote until ...

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March 25, 2015

$7.2 Billion in Funding for CHC’s Hits a Snag

The recently announced bipartisan health care deal has come upon opposition in the Senate. The deal covers a plan to finance health care for ...

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March 24, 2015

Iowa Medicaid Managed Care Proposal Hits Opposition

Plans to shift Iowa’s Medicaid program to managed care face opposition. Click Here to Read More 

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August 1, 2014

Deadline for ICD-10 and FFS Testing Opportunities

http://www.cms.gov/Medicare/Coding/ICD10/Medicare-Fee-For-Service-Provider-Resources.html    

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November 4, 2013

The Impact of CMS Changes on the FQHC Revenue Cycle

By Robert Skeffington, CHBME, PMG Inc. 2011 has already seen the most significant changes to the revenue cycle for Federally Qualified Health Centers (FQHCs) ...

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November 4, 2013

5010 Enforcement Discretion Period Ends June 30, 2012

The CMS Office of E-Health Standards and Services (OESS) reminds industry that the end of its enforcement discretion period is June 30, 2012. Covered ...

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November 4, 2013

7 Things Medical Billers Should So to Increase Revenue

Today’s healthcare industry is full of ever-changing laws, regulations, guidelines and payer policies making medical billing extremely challenging. Cash flow is vital to the ...

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November 4, 2013

Subcommittee on Health Center Finance

FQHC Medicare – Program Assistance Letter 2011-04 As we all know Medicare is growing and is expected to do so for years to come. ...

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November 4, 2013

Supreme Court Decision on the Constitutionality of the PPACA

HBMA GR Committee Earlier today, the Supreme Court announced its decision on the questions it was presented relative to the constitutionality of certain provisions ...

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November 4, 2013

Health Law Alert

HHS Warns Providers of Abusive “Over-documentation” via EMR to inappropriately elevate reimbursement.http://www.nixonpeabody.com/HHS_warns_hospitals_and_health_care_providers_not_to_game_system

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November 4, 2013

CMS Delays Limitation on “Brown Bagging” prescription drugs

A recent article indicated providers could not write a prescription to have patients bring prescription drugs to a CHC for administration. This would have ...

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November 4, 2013

2012 Integration Summit – Save the Date

3rd AnnualPrimary Care and Behavioral Health Integration Summit September 12, 2012 Jacobs Center in San Diego12:00 pm – 4:30 pmLunch and Networking Starts at ...

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November 4, 2013

FQHC Payment Increase 2013

Announcement of Medicare Rural health Clinic (RHC) and Federally Qualified Health Centers (FQHC) Payment Rate Increases.MLN Matters

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November 4, 2013

NGS has officially afforded limited amnesty for 5010 transition

Compliance is still essential BUT there are some permitted delays as described in the email below:National Government Services Implementation of Medicare Fee-for-Service Strategic Implementation ...

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November 4, 2013

AMA 2012 National Health Insurer Report Card

The American Medical Association’s (AMA) National Health Insurer Report Card (NHIRC) provides physicians and the general public a reliable and defensible source of critical ...

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November 4, 2013

Regulatory Update

Important Information about the Medicare Physician Fee Schedule for 2013 CMS has prepared and sent HBMA the following information. Please review as this contains ...

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November 4, 2013

HBMA Special Alert re PECOS

Over the past eighteen months, HBMA has been working with CMS to provide feedback regarding the use of and making improvements to the Internet-based ...

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November 4, 2013

Those Pesky Insurance Exchanges

Northwest Regional Primary Care Association, Lynn Gerlach, Member Services Coordinator I don’t know about you, but I find the whole concept of insurance “exchanges,” particularly ...

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November 4, 2013

U.S. Warning to Hospitals on Medicare Bill Abuses

Saying there are “troubling indications” of abuse in the way hospitals use electronic records to bill for Medicare and Medicaid reimbursement, the Obama administration ...

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November 4, 2013

SGR Update from HBMA GR Committee

The House and Senate have both voted to approve legislation preventing the scheduled 27.4% SGR related cut from taking effect on March 1. The ...

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November 4, 2013

Study Shows Community Health Centers Compare Well With Private Practices

Government-funded community health centers, which serve low-income and uninsured patients, provide better care than do private practices, a researcher at the Stanford University School ...

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November 4, 2013

Assessing the Potential Impact on Sequestration on Community Health Centers, Patients, and Medically Underserved Communities

There will be a real and significant impact from the Sequestration cuts to Community Health organizations.  While one could debate the usefulness of the ...

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November 4, 2013

Breaking News: Congress passes temporary fee fix

As expected Congress is in process of averting the 27% pay cut and replacing with (drum roll please) a flat rate increase; i.e., 2012 ...

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November 4, 2013

Businesses will push Perry to rethink Medicaid expansion

Texas Gov. Rick Perry says he rejects the “Obamacare power grab” and will block measures expanding health insurance to millions in his state. The ...

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November 4, 2013

Significant changes to Current Procedural Terminology (CPT) codes for psychiatry and psychotherapy services

Effective January 1, 2013, there were significant changes to Current Procedural Terminology (CPT) codes for psychiatry and psychotherapy services. The CPT code set is ...

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November 4, 2013

Official notice from CMS regarding extension of 5010 enforcement delay

CMS Announces Extension of Enforcement Discretion Period for Updated HIPAA Transaction Standards Through June 30, 2012 In an announcement, the Centers for Medicare & ...

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November 4, 2013

ACA decision leaves questions for health centers

The Supreme Court decision affirming the Patient Protection and Affordable Care Act last month made clear, under law, that a vast number of uninsured ...

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November 4, 2013

BREAKING NEWS – CMS extends 5010 deadline

Part B News BREAKING NEWS: CMS has delayed HIPAA 5010 enforcement again until June 30, according to a March 15 CMS news release. Providers ...

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November 4, 2013

PA Authority and Power Expanded in Mass

SB 2400 Signed into Law! Important Changes for PA Profession On August 6th, Governor Deval Patrick signed Senate Bill 2400 into law, making numerous ...

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November 4, 2013

HHS final rule on medicaid expansion

Affordable Care Act will ensure health coverage for millions of AmericansMarch 16, 2012 States to receive federal funding to provide high-quality, affordable coverage Health ...

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November 4, 2013

One-year delay for ICD-10 is finalized

CMS today posted a rule in the Federal Register that finalizes the proposed one-year delay for the ICD-10 code set.The official compliance date will ...

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