CMS Releases Petition Instructions for Entities Seeking IDR Certification
The Centers for Medicare and Medicaid (CMS) released instructions via their website for entities wishing to apply as a certified independent dispute resolution (IDR) entity. […]
CAA #10: Proposed Rule on Air Ambulance Data Reporting and Other Matters
On Sept 10, the Departments of Labor (DOL), Treasury (IRS), and Health and Human Services (HHS) issued a proposed rule addressing certain aspects of the […]
CAA #9: GOVERNMENT ANNOUNCES ENFORCEMENT DELAYS FOR SOME PROVISIONS OF THE CONSOLIDATED APPROPRIATIONS ACT OF 2021
On August 20, 2021, the Departments of Labor (DOL), Health and Human Services (HHS), and the Treasury (IRS) (collectively, the Departments) issued a FAQ offering […]
Interpreting ARPA’s COBRA Subsidy: Part 1
The IRS published its 41-page FAQs, Notice 2021-31 (the Notice) which provides answers to many questions surrounding the COBRA premium assistance program (Subsidy) created by […]
COBRA Provisions in the American Rescue Plan Act of 2021 (ARPA)
In addition to providing stimulus checks to many Americans, ARPA includes provisions designed to make it easier for people who have lost their jobs to […]
CAA #6: Continuity of Care Requirements in the Consolidated Appropriations Act
The Consolidated Appropriations Act (CAA) includes provisions designed to prevent patients from losing access to an in-network provider (including in-network facilities) while in a course […]
CAA #4: A Prohibition on Gag Clauses
The Consolidated Appropriations Act (CAA) prohibits health plans from entering into contracts that would restrict the plan from: Offering provider-specific cost or quality of care […]
Advance Explanation of Benefits: the 411
What is it? An Advance Explanation of Benefits (AEOB) starts with the obligation of a health care provider to furnish a patient with an advance […]
CAA #2: Removing the Element of Surprise: the Consolidated Appropriations Act’s Guidelines for Group Health Plans
CAA NO SURPRISES BLOG The Consolidated Appropriations Act of 2021 (CAA) contained many provisions that directly affect employer sponsored group health plans. In this blog, […]