6 Tips to Starting a Mental Health Movement

This year’s World Mental Health Day was on October 10th, 2022, with a theme of “making mental health and wellbeing for all a global priority.” If mental health is to become a movement, it needs leaders driving it forward, and who better to lead that charge than Patient Access?

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How Providers Should Leverage Payor Price Transparency

The Transparency in Coverage Final Rules took effect on July 1st. CMS is monitoring for compliance (just like providers), requiring most health plans and health insurance issuers in the individual and group markets to publicly disclose certain pricing information on their website.

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No Surprises Act Final Rules: Favors Healthcare Providers

On August 26, 2022, the final rules were published by the Internal Revenue Service and the Departments of Health and Human Services, Treasury and Labor (the Departments) addressing the independent dispute resolution (IDR) process and payor “downcoding” (meaning when a payor assigns a service or item a lower level than originally billed).

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OIG Special Fraud Alert – Telehealth

Telehealth utilization drastically increased during the COVID-19 pandemic. Telehealth fraud dramatically increased too. On July 20, 2022, HHS’ OIG and the Department of Justice (DOJ) announced criminal charges against 36 telehealth companies totaling $1.2 billion for telehealth fraud that they look to recover. 

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