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On September 21, 2023, the Departments allowed certified IDR entities to resume processing single and bundled disputes that were...
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Pursuant to this change, MACs are required to adjust any claims denied due to the NCCI edits. This affects claims with dates of service...
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A physician was recently convicted for his role in a healthcare fraud conspiracy involving cancer genetic tests telemedicine companies,...
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On September 9, 2023, the 9th Circuit held that the CARES Act doesn't create a private right of action for providers to sue payors for...
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CMS issued a notice on September 5th stating that all eligibility determinations for single and bundled disputes submitted on or before...