Billing and Collections
The final rule is an implementation of the No Surprises Act, which was passed by Congress last year.
The No Surprises Act prohibits most surprise out-of-network billing but doesn't address surprise ambulance bills.
Insurers should be mandated to continue to waive inpatient out-of-pocket costs, report says.
Using a technology platform for both providers and payers, Cedar says it is tackling a fragmented billing system.
Although a vote has yet to be officially scheduled, the Senate is expected to vote on a hotlined version of H.R. 1868.
The letter emphasizes the importance of the transition to value and decries policies that hamper that transition.
The bill now moves to the Senate, where it needs 60 votes to pass before the current moratorium ends on March 31.
At least 65% of the top 100 largest hospitals were "unambiguously noncompliant" with the rule as of early February.
Stays at the highest severity level are vulnerable to inappropriate billing practices, OIG says.
Similar to the COVID-19 vaccine, Medicare will cover these infusions for the duration of the public health emergency.