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HBMA Capitol Insights Newsletter - February 6th, 2026

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HBMA Capitol Insights Newsletter February 6th, 2026 Author(s): Matt Reiter and Luke Schwartz What Happened in Congress...

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HBMA Capitol Insights Newsletter - January 30th, 2026

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HBMA Capitol Insights Newsletter January 30th, 2026 Author(s): Matt Reiter and Luke Schwartz What Happened in Congress...

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Washington Report - January 2026

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January 2026 Washington Report Matt Reiter and Luke Schwartz Medicare Claims Disruption Possible as Congress Negotiates...

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HBMA Capitol Insights Newsletter - January 23rd, 2026

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HBMA Capitol Insights Newsletter January 23rd, 2026 Author(s): Matt Reiter and Luke Schwartz What Happened in Congress...

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HBMA Capitol Insights Newsletter - January 16th, 2026

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HBMA Capitol Insights Newsletter January 16th, 2026 Author(s): Matt Reiter and Luke Schwartz What Happened in Congress...

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HBMA Capitol Insights Newsletter - January 9th, 2026

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HBMA Capitol Insights Newsletter January 9th, 2026 Author(s): Matt Reiter and Luke Schwartz What Happened in Congress...

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Washington Report - December 2025

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December 2025 Washington Report Matt Reiter and Luke Schwartz Expired ACA Subsidies Will Be a Defining Issue Heading...

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HBMA Capitol Insights Newsletter - December 19th, 2025

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HBMA Capitol Insights Newsletter December 19th, 2025 Author(s): Matt Reiter and Luke Schwartz Programming Note: The...

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United Healthcare - Control How You Get Paid From Members

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Control how you get paid from members Take these steps to accept virtual payments We’ve changed our process for how...

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HBMA Capitol Insights Newsletter - December 12th, 2025

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HBMA Capitol Insights Newsletter December 12th, 2025 Author(s): Matt Reiter and Luke Schwartz What Happened in Congress...

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HBMA Capitol Insights Newsletter - December 5th, 2025

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HBMA Capitol Insights Newsletter December 5th, 2025 Author(s): Matt Reiter and Luke Schwartz What Happened in Congress...

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Washington Report - November 2025

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November 2025 Washington Report Matt Reiter and Luke Schwartz The Longest Government Shutdown in US History Comes to an...

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HBMA Capitol Insights Newsletter - November 21st, 2025

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HBMA Capitol Insights Newsletter November 21st, 2025 Author(s): Matt Reiter and Luke Schwartz What Happened in Congress...

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HBMA Capitol Insights Newsletter - November 14th, 2025

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HBMA Capitol Insights Newsletter November 14th, 2025 Author(s): Matt Reiter and Luke Schwartz The Longest Government...

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HBMA Capitol Insights Newsletter - November 7th, 2025

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HBMA Capitol Insights Newsletter November 7th, 2025 Author(s): Matt Reiter and Luke Schwartz What Happened in Congress...

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Washington Report - October 2025

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October 2025 Washington Report Matt Reiter and Luke Schwartz CMS Publishes CY 2026 Medicare Physician Fee Schedule...

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HBMA Capitol Insights Newsletter - October 31st, 2025

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HBMA Capitol Insights Newsletter October 31st, 2025 Author(s): Matt Reiter and Luke Schwartz What Happened in Congress...

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HBMA Capitol Insights Newsletter - October 24th, 2025

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HBMA Capitol Insights Newsletter October 24th, 2025 Author(s): Matt Reiter and Luke Schwartz What Happened in Congress...

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United Healthcare - View AMA codes for genetic and molecular tests

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View AMA codes for genetic and molecular tests New AMA codes for genetic and molecular tests added for prior...

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HBMA Capitol Insights Newsletter - October 17th, 2025

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HBMA Capitol Insights Newsletter October 17th, 2025 Author(s): Matt Reiter and Luke Schwartz What Happened in Congress...

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HBMA Capitol Insights Newsletter - October 10th, 2025

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HBMA Capitol Insights Newsletter - October 10th, 2025 By Matt Reiter, Andrew Webster and Luke Schwartz CAI Spotlight...

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HBMA Capitol Insights Newsletter - October 3rd, 2025

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HBMA Capitol Insights Newsletter October 3rd, 2025 Author(s): Matt Reiter and Luke Schwartz What Happened in Congress...

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Washington Report - September 2025

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September 2025 Washington Report Matt Reiter and Luke Schwartz Federal Government Shutdown Begins The federal...

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HBMA Capitol Insights Newsletter - September 26th, 2025

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HBMA Capitol Insights Newsletter September 26th, 2025 Author(s): Matt Reiter and Luke Schwartz What Does a Government...

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HBMA Capitol Insights Newsletter - September 19th, 2025

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HBMA Capitol Insights Newsletter September 19th, 2025 Author(s): Matt Reiter and Luke Schwartz What Happened in...

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HBMA Capitol Insights Newsletter - September 12th, 2025

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HBMA Capitol Insights Newsletter September 12th, 2025 Author(s): Matt Reiter and Luke Schwartz ? What Happened in...

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HBMA Capitol Insights Newsletter - September 5th, 2025

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HBMA Capitol Insights Newsletter September 5th, 2025 What Happened in Congress This Week? A House Appropriations...

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Washington Report - August 2025

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August 2025 Washington Report Matt Reiter and Luke Schwartz What to Expect from Congress When It Returns from Recess?...

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HBMA Capitol Insights Newsletter - August 29th, 2025

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HBMA Capitol Insights Newsletter August 29th, 2025 Author(s): Matt Reiter and Luke Schwartz Next week, the Senate...

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HBMA Capitol Insights Newsletter - August 22nd, 2025

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HBMA Capitol Insights Newsletter August 22nd, 2025 Author(s): Matt Reiter and Luke Schwartz Executive Order Politicizes...

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HBMA Capitol Insights Newsletter - August 15th, 2025

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HBMA Capitol Insights Newsletter August 15th, 2025 Providers Are Working Harder -- and Taking Home Less The 2025 Q2...

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HBMA Capitol Insights Newsletter - August 8th, 2025

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HBMA Capitol Insights Newsletter August 8th, 2025 Author(s): Matt Reiter and Luke Schwartz What Does America’s AI...

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Washington Report - July 2025

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July 2025 Washington Report Matt Reiter and Luke Schwartz HBMA Goes to Washington The HBMA Government Relations...

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HBMA Capitol Insights Newsletter - August 1st, 2025

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HBMA Capitol Insights Newsletter August 1st, 2025 Author(s): Matt Reiter and Luke Schwartz ? What Happened in Congress...

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HBMA Capitol Insights Newsletter - July 25th, 2025

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HBMA Capitol Insights Newsletter July 25th, 2025 Author: Matt Reiter and Luke Schwartz ? ? What Happened in Congress...

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HBMA Capitol Insights Newsletter - July 18th, 2025

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HBMA Capitol Insights Newsletter July 18th, 2025 Author: Matt Reiter and Luke Schwartz ? ? What Happened in Congress...

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United Healthcare - Update to Medicare Advantage reimbursement for Advanced Practice Health Care Practitioners

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Update to Medicare Advantage reimbursement for Advanced Practice Health Care Practitioners Consistent with the Centers...

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HBMA Capitol Insights Newsletter - July 11th, 2025

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HBMA Capitol Insights Newsletter July 11th, 2025 Author: Matt Reiter and Luke Schwartz ? What Happened in Congress This...

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Washington Report - June 2025

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June 2025 Washington Report Matt Reiter and Luke Schwartz One Big Beautiful Bill Signed into Law: What RCM Companies...

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HBMA Capitol Insights Newsletter - June 27th, 2025

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HBMA Capitol Insights Newsletter June 27th, 2025 Author: Matt Reiter and Luke Schwartz Programming Note: Capitol...

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HBMA Capitol Insights Newsletter - June 20th, 2025

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HBMA Capitol Insights Newsletter June 20th, 2025 Author: Matt Reiter and Luke Schwartz What Happened in Congress This...

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HBMA Capitol Insights Newsletter - June 13th, 2025

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HBMA Capitol Insights Newsletter June 13th, 2025 By Luke Schwartz and Matt Reiter What Happened in Congress This Week?...

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HBMA Capitol Insights Newsletter - June 6th, 2025

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HBMA Capitol Insights Newsletter June 6th, 2025 Author: Luke Schwartz and Matt Reiter What Happened in Congress This...

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Washington Report - May 2025

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May 2025 Washington Report Luke Schwartz and Matt Reiter House Passes the One, Big, Beautiful Bill Act The House of...

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HBMA Capitol Insights Newsletter - May 30th, 2025

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HBMA Capitol Insights Newsletter May 30th, 2025 Author: Luke Schwartz and Matt Reiter The Reconciliation Bill’s Major...

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HBMA Capitol Insights Newsletter - May 23rd, 2025

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HBMA Capitol Insights Newsletter May 23rd, 2025 Author: Luke Schwartz and Matt Reiter What Happened in Congress This...

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HBMA Capitol Insights Newsletter - May 16th, 2025

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HBMA Capitol Insights Newsletter May 16th, 2025 Author: Luke Schwartz and Matt Reiter What Happened in Congress This...

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HBMA Capitol Insights Newsletter - May 9th, 2025

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HBMA Capitol Insights Newsletter May 9th, 2025 Author: Luke Schwartz and Matt Reiter What Happened in Congress This...

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United Healthcare - Streamline your health care practice with technology

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Streamline your health care practice with technology Use APIs for more efficient, secure care coordination If you use...

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HBMA Capitol Insights Newsletter - May 2nd, 2025

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HBMA Capitol Insights Newsletter May 2nd, 2025 Author: Luke Schwartz and Matt Reiter What Happened in Congress This...

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Washington Report - April 2025

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April 2025 Washington Report Luke Schwartz and Matt Reiter Congress Advances to Next Step in Budget Reconciliation...

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HBMA Capitol Insights Newsletter - April 25th, 2025

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HBMA Capitol Insights Newsletter April 25th, 2025 Author: Matt Reiter and Luke Schwartz Telehealth in Rural America –...

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HBMA Capitol Insights Newsletter - April 18th, 2025

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HBMA Capitol Insights Newsletter April 18th, 2025 Author: Matt Reiter and Luke Schwartz How to Save $880 Billion...

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HBMA Capitol Insights Newsletter - April 11th, 2025

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HBMA Capitol Insights Newsletter April 11th, 2025 Author: Luke Schwartz and Matt Reiter What Happened in Congress This...

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HBMA Capitol Insights Newsletter - April 4th, 2025

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HBMA Capitol Insights Newsletter April 4th, 2025 Author: Luke Schwartz and Matt Reiter What Happened in Congress This...

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Washington Report - March 2025

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March 2025 Washington Report Luke Schwartz and Matt Reiter Congress Does Not Address Doc Fix in Government Funding Bill...

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HBMA Capitol Insights Newsletter - March 28th, 2025

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HBMA Capitol Insights Newsletter March 28th, 2025 What Happened in Congress this Week Dr. Jay Bhattacharya was...

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HBMA Capitol Insights Newsletter - March 21st, 2025

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HBMA Capitol Insights Newsletter March 21st, 2025 Author(s): Luke Schwartz, Matt Reiter What Happened in Congress This...

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HBMA Capitol Insights Newsletter - March 14th, 2025

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HBMA Capitol Insights Newsletter March 14th, 2025 Author(s): Luke Schwartz, Matt Reiter What Happened in Congress This...

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HBMA Capitol Insights Newsletter - March 7th, 2025

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HBMA Capitol Insights Newsletter March 7, 2025 Author(s): Luke Schwartz, Matt Reiter What Happened in Congress This...

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HBMA Capitol Insights Newsletter - February 28th, 2025

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HBMA Capitol Insights Newsletter February 28th, 2025 Author(s): Luke Schwartz, Matt Reiter What Happened in Congress...

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Washington Report - February 2025

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February 2025 Washington Report Luke Schwartz and Matt Reiter Congress Introduces Bill to Address Physician Payment...

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United Healthcare - Avoid claim rejections and denials

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Avoid claim rejections and denials Reasons why corrected, duplicate and multiple claims are rejected Effective April 1,...

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HBMA Capitol Insights Newsletter - February 21st, 2025

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HBMA Capitol Insights Newsletter February 21st, 2025 Author(s): Luke Schwartz, Matt Reiter What Happened in Congress...

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HBMA Capitol Insights Newsletter - February 14th, 2025

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HBMA Capitol Insights Newsletter February 14, 2025 Author(s): Luke Schwartz, Matt Reiter What Happened in Congress this...

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HBMA Capitol Insights Newsletter - February 7th, 2025

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HBMA Capitol Insights Newsletter February 7, 2025 Author(s): Luke Schwartz, Matt Reiter 2025 Transition Updates The...

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Washington Report - January 2025

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January 2025 Washington Report Luke Schwartz and Matt Reiter HBMA’s 2025 Advocacy Priorities The HBMA Government...

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HBMA Capitol Insights Newsletter - January 31st, 2025

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HBMA Capitol Insights Newsletter January 31st, 2025 Authors: Luke Schwartz and Matt Reiter With such a busy week in...

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HBMA Capitol Insights Newsletter - January 24th, 2025

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HBMA Capitol Insights Newsletter January 24, 2025 Authors: Luke Schwartz and Matt Reiter 2025 Transition Updates On...

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HBMA Capitol Insights Newsletter - January 17th, 2025

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HBMA Capitol Insights Newsletter January 17th, 2025 Authors: Luke Schwartz and Matt Reiter What Happened in Congress...

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HBMA Capitol Insights Newsletter - January 10th, 2025

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HBMA Capitol Insights Newsletter - January 10th, 2025 Authors: Luke Schwartz and Matt Reiter What Happened in Congress...

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Washington Report - December 2024

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December 2024 Washington Report Luke Schwartz and Matt Reiter End of Year Funding Year-End Spending Bill a Mixed Bag on...

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HBMA Capitol Insights Newsletter - December 20th, 2024

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HBMA Capitol Insights Newsletter December 20th, 2024 Authors: Luke Schwartz and Matt Reiter Programming Note: Capitol...

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HBMA Capitol Insights Newsletter - December 13th, 2024

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HBMA Capitol Insights Newsletter December 13th, 2024 Authors: Luke Schwartz and Matt Reiter What Happened in Congress...

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HBMA Capitol Insights Newsletter - December 6th, 2024

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HBMA Capitol Insights Newsletter December 6, 2024 Authors: Luke Schwartz, Shriya Velichala and Matt Reiter What...

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Washington Report - November 2024

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November 2024 Washington Report Luke Schwartz and Matt Reiter Led by Donald Trump, Republicans Solidify a Unified...

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United Healthcare - New changes: Close FUH gaps using qualified billing and diagnostic codes

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New changes: Close FUH gaps using qualified billing and diagnostic codes Beginning Jan. 1, 2025, medical health care...

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HBMA Capitol Insights Newsletter - November 22nd, 2024

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HBMA Capitol Insights Newsletter November 22, 2024 Authors: Luke Schwartz and Matt Reiter What Happened in Congress...

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HBMA Capitol Insights Newsletter - November 15th, 2024

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HBMA Capitol Insights Newsletter November 15th, 2024 Author: Luke Schwartz & Matt Reiter Congress' First Week Back...

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HBMA Capitol Insights Newsletter: Special Edition

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Author: Matt Reiter This is a special edition of Capitol Insights that analyzes the state of the 2024 election results...

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Washington Report - October 2024

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October 2024 Washington Report Luke Schwartz and Matt Reiter HBMA Government Relations Committee Heads to CMS for Day...

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HBMA Capitol Insights Newsletter - November 1st, 2024

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HBMA Capitol Insights Newsletter November 1st, 2024 Authors: Luke Schwartz and Matt Reiter This is the final edition of...

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HBMA Capitol Insights Newsletter - October 25th, 2024

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HBMA Capitol Insights Newsletter October 25, 2024 Authors: Luke Schwartz and Matt Reiter HIPAA Security Rule Update...

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HBMA Capitol Insights Newsletter - October 18th, 2024

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HBMA Capitol Insights Newsletter October 18, 2024 Authors: Luke Schwartz and Matt Reiter Senate Homeland Security...

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United Healthcare - Update Your Authentication Methods by March 1, 2025

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Update Your Authentication Methods by March 1, 2025 A security update to the UnitedHealthcare Provider Portal is coming...

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HBMA Capitol Insights Newsletter - October 11th, 2024

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HBMA Capitol Insights Newsletter October 11, 2024 Breaking Down the Competitive 2024 Senate Races While the upcoming...

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Washington Report - September 2024

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September 2024 Washington Report Luke Schwartz and Matt Reiter September Congress Recap Following the August recess,...

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HBMA Capitol Insights Newsletter - September 27th, 2024

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HBMA Capitol Insights Newsletter September 27, 2024 Authors: Luke Schwartz and Matt Reiter Congress’ September Sprint...

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United Healthcare - Take charge of your time

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Take charge of your time Choose digital to get answers, support and your work done faster Digital is your fastest, most...

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HBMA Capitol Insights Newsletter - September 13th, 2024

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HBMA Capitol Insights Newsletter September 13th, 2024 Authors: Luke Schwartz and Matt Reiter Publication Note: Due to...

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HBMA Capitol Insights Newsletter - September 6th, 2024

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HBMA Capitol Insights Newsletter September 6, 2024 Authors: Luke Schwartz and Matt Reiter Congress Braces for September...

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Washington Report - August 2024

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August 2024 HBMA Washington Report Luke Schwartz and Matt Reiter Federal and State Efforts Expand to Mitigate Patient...

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HBMA Capitol Insights Newsletter - August 30th, 2024

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HBMA Capitol Insights Newsletter August 30, 2024 Authors: Luke Schwartz and Matt Reiter PBM CEOs Accused of False...

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HBMA Capitol Insights Newsletter - August 23rd, 2024

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HBMA Capitol Insights Newsletter August 23, 2024 Authors: Luke Schwartz and Matt Reiter Democrats Release Official 2024...

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HBMA Capitol Insights Newsletter - August 16th, 2024

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HBMA Capitol Insights Newsletter August 16, 2024 Authors: Luke Schwartz and Matt Reiter CMS Approves North Carolina’s...

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HBMA Capitol Insights Newsletter - August 9th, 2024

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HBMA Capitol Insights Newsletter August 9, 2024 Authors: Luke Schwartz and Matt Reiter Unpacking the Healthcare...

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HBMA Capitol Insights Newsletter - August 9th, 2024

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HBMA Capitol Insights Newsletter August 9, 2024 Authors: Luke Schwartz and Matt Reiter Unpacking the Healthcare...

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Washington Report - July 2024

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July 2024 Washington Report Matt Reiter and Luke Schwartz CMS Releases CY 2025 Physician Fee Schedule CMS published the...

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HBMA Capitol Insights Newsletter - July 26th, 2024

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HBMA Capitol Insights Newsletter July 26, 2024 Authors: Matt Reiter, Parker Krex, and Luke Schwartz What Happened in...

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HBMA Capitol Insights Newsletter - July 19th, 2024

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HBMA Capitol Insights Newsletter July 19, 2024 Authors: Luke Schwartz, Parker Krex, and Matt Reiter MedPAC Releases...

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HBMA Capitol Insights Newsletter - July 12th, 2024

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HBMA Capitol Insights Newsletter July 12, 2024 Authors: Luke Schwartz, Parker Krex, and Matt Reiter What Happened in...

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Washington Report - June 2024

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June 2024 Washington Report Matt Reiter, Luke Schwartz and Parker Krex HBMA Has Successful Advocacy Day on Capitol Hill...

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HBMA Capitol Insights Newsletter - June 28th, 2024

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HBMA Capitol Insights Newsletter June 28th, 2024 Authors: Luke Schwartz, Parker Krex, and Matt Reiter What Happened...

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HBMA Capitol Insights Newsletter - June 21, 2024

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HBMA Capitol Insights Newsletter June 21, 2024 Authors: Luke Schwartz, Parker Krex, and Matt Reiter What Happened in...

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HBMA Capitol Insights Newsletter - June 14, 2024

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HBMA Capitol Insights Newsletter June 14, 2024 Authors: Luke Schwartz, Parker Krex, Ella Yitzhaki, and Matt Reiter What...

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HBMA Capitol Insights Newsletter - June 7th, 2024

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HBMA Capitol Insights Newsletter June 7, 2024 Authors: Luke Schwartz, Parker Krex, and Matt Reiter What Happened in...

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Washington Report - May 2024

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May 2024 HBMA Washington Report Matt Reiter and Luke Schwartz Bipartisan Senate Finance Committee Members Release...

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HBMA Capitol Insights Newsletter - May 31st, 2024

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HBMA Capitol Insights Newsletter May 31st, 2024 Authors: Luke Schwartz & Matt Reiter What Happened in Congress this...

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HBMA Capitol Insights Newsletter - May 24th, 2024

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HBMA Capitol Insights Newsletter May 24, 2024 Authors: Luke Schwartz & Matt Reiter What Happened in Congress this Week?...

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CMS Response to HBMA April 2024

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HBMA has been engaging with federal policymakers since the Change Healthcare cyberattack first occurred to urgently...

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HBMA Capitol Insights Newsletter - May 17th, 2024

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HBMA Capitol Insights Newsletter May 17, 2024 Authors: Luke Schwartz & Matt Reiter What Happened in Congress this Week?...

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Washington Report - April 2024

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April 2024 Washington Report Matt Reiter and Luke Schwartz UnitedHealth Group CEO Testifies Before Two Congressional...

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HBMA Capitol Insights Newsletter - May 3rd, 2024

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HBMA Capitol Insights Newsletter May 3rd, 2024 Authors: Luke Schwartz & Matt Reiter What Happened in Congress this...

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HBMA Capitol Insights Newsletter - April 26th, 2024

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HBMA Capitol Insights Newsletter April 26, 2024 Authors: Luke Schwartz, Caroline Oliver, and Matt Reiter On Saturday,...

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April is Minority Health Month

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April is Minority Health Month Access new cultural competency trainings today This Minority Health Month, you can...

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HBMA Capitol Insights Newsletter - April 19th, 2024

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HBMA Capitol Insights Newsletter April 19th, 2024 Authors: Luke Schwartz, Caroline Oliver, and Matt Reiter What...

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HBMA Capitol Insights Newsletter - April 12th, 2024

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HBMA Capitol Insights Newsletter April 12, 2024 Authors: Luke Schwartz, Caroline Oliver, and Matt Reiter What Happened...

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HBMA Capitol Insights Newsletter - April 4th, 2024

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HBMA Capitol Insights Newsletter April 4, 2024 Authors: Luke Schwartz, Caroline Oliver, and Matt Reiter What Happened...

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Washington Report - March 2024

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March 2024 Washington Report Luke Schwartz, Vencetia Flournoy, Caroline Oliver, Matt Reiter UnitedHealth Group is...

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HBMA Capitol Insights Newsletter - March 29th, 2024

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HBMA Capitol Insights Newsletter March 29th, 2024 Authors: Luke Schwartz, Caroline Oliver, and Matt Reiter What...

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HBMA Capitol Insights Newsletter - March 22nd, 2024

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HBMA Capitol Insights Newsletter March 22, 2024 Authors: Caroline Oliver, Vencetia Flournoy, Luke Schwartz, Matt Reiter...

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HBMA Capitol Insights Newsletter - March 15th, 2024

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HBMA Capitol Insights Newsletter March 15, 2024 Authors: Luke Schwartz, Caroline Oliver, and Matt Reiter What Happened...

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HBMA Capitol Insights Newsletter - March 8th, 2024

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HBMA Capitol Insights Newsletter March 8, 2024 Authors: Luke Schwartz, Caroline Oliver, Amanda Williams, and Matt...

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Washington Report - February 2024

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February 2024 Washington Report Matt Reiter and Luke Schwartz Cyberattack on Change Healthcare On February 21, 2024,...

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Update your One Healthcare ID to maintain portal access

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Update your One Healthcare ID to maintain portal access Changes are coming soon to your UnitedHealthcare Provider...

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HBMA Capitol Insights Newsletter - March 1st, 2024

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HBMA Capitol Insights Newsletter March 1, 2024 Authors: Matt Reiter, Luke Schwartz, and Caroline Oliver What Happened...

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HBMA Capitol Insights Newsletter - February 23rd, 2024

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HBMA Capitol Insights Newsletter February 23, 2024 Authors: Matt Reiter, Luke Schwartz, and Caroline Oliver What...

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HBMA Capitol Insights Newsletter - February 23rd, 2024

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HBMA Capitol Insights Newsletter February 23, 2024 Authors: Matt Reiter, Luke Schwartz, and Caroline Oliver What...

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HBMA Capitol Insights Newsletter - February 16th, 2024

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HBMA Capitol Insights Newsletter February 16, 2024 Authors: Luke Schwartz, Matt Reiter, and Caroline Oliver What...

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HBMA Capitol Insights Newsletter - February 9th, 2024

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HBMA Capitol Insights Newsletter February 9, 2024 Authors: Luke Schwartz, Matt Reiter, and Caroline Oliver What...

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Washington Report - January 2024

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January 2024 HBMA Washington Report Luke Schwartz and Matt Reiter Conversion Factor Reduced by 3.37% to start 2024 In...

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HBMA Capitol Insights Newsletter - February 2nd, 2024

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HBMA Capitol Insights Newsletter February 2, 2024 Authors: Luke Schwartz, Matt Reiter, and Caroline Oliver What...

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HBMA Capitol Insights Newsletter - January 26th, 2024

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HBMA Capitol Insights Newsletter January 26, 2024 Authors: Luke Schwartz, Caroline Oliver, and Matt Reiter Meet Luke...

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New: Add unsolicited 275 attachments to claim submissions

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New: Add unsolicited 275 attachments to claim submissions In 2024, in partnership with Optum, a UnitedHealthcare...

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HBMA Capitol Insights Newsletter - January 19th, 2024

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HBMA Capitol Insights Newsletter January 19, 2024 Authors: Matt Reiter, Caroline Oliver, and Amanda Williams What...

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HBMA Capitol Insights Newsletter – January 12th, 2024

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HBMA Capitol Insights Newsletter – January 12, 2024 Authors: Matt Reiter, Caroline Oliver, and Amanda Williams What...

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HBMA Capitol Insights Newsletter – January 12th, 2024

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HBMA Capitol Insights Newsletter – January 12, 2024 Authors: Matt Reiter, Caroline Oliver, and Amanda Williams What...

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Washington Report - December 2023

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December 2023 HBMA Washington Report Matt Reiter Congress Could Address Medicare Cuts in January Government Funding...

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HBMA Comments on NSA IDR Proposed Rule

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December 22, 2023 Chiquita Brooks-LaSure Administrator Centers for Medicare & Medicaid Services Department of Health...

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HBMA Capitol Insights Newsletter – December 15th, 2023

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HBMA Capitol Insights Newsletter – December 15, 2023 Happy Holidays from all of us at Capitol Associates! This will be...

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Payment change for Medicare Supplement member deductibles

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Payment change for Medicare Supplement member deductibles Starting Jan. 1, 2024 , we’re expanding the availability of...

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Washington Report - November 2023

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November 2023 HBMA Washington Report Branden Cordeiro, Matt Reiter, and Amanda Williams President Biden Signs Two-Step...

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HBMA Capitol Insights Newsletter – December 8th, 2023

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HBMA Capitol Insights Newsletter – December 8th, 2023 Authors: Branden Cordeiro, Matt Reiter, Emma Llewellyn and Amanda...

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HBMA Capitol Insights Newsletter – December 1st, 2023

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HBMA Capitol Insights Newsletter – December 1, 2023 Authors: Branden Cordeiro, Matt Reiter, Emma Llewellyn and Amanda...

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HBMA Capitol Insights Newsletter – November 17th, 2023

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HBMA Capitol Insights Newsletter – November 17, 2023 Happy Thanksgiving from all of us at Capitol Associates! In...

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Summary of CY 2024 Medicare Physician Fee Schedule Final Rule

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Summary of CY 2024 Medicare Physician Fee Schedule Final Rule On November 2, 2023, the Centers for Medicare and...

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Updated prior authorization requirement for genetic and molecular codes

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Updated prior authorization requirement for genetic and molecular codes Newly issued AMA codes have been added to...

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HBMA Capitol Insights Newsletter – November 10th, 2023

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HBMA Capitol Insights Newsletter – November 10, 2023 Authors: Branden Cordeiro, Matt Reiter, Emma Llewellyn and Amanda...

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Washington Report - October 2023

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October 2023 Washington Report Branden Cordeiro, Matt Reiter, and Amanda Williams CMS Announces 2024 Medicare Physician...

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HBMA Capitol Insights Newsletter – November 3rd, 2023

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HBMA Capitol Insights Newsletter – November 3, 2023 Authors: Branden Cordeiro, Matt Reiter, Emma Llewellyn and Amanda...

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Peoples Health is changing to UnitedHealthcare systems on Jan. 1

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Peoples Health is changing to UnitedHealthcare systems on Jan. 1 On Jan. 1, 2024, Peoples Health is transitioning to...

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HBMA Capitol Insights Newsletter – October 27th, 2023

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HBMA Capitol Insights Newsletter – October 27, 2023 Authors: Branden Cordeiro, Matt Reiter, Emma Llewellyn and Amanda...

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HBMA NSA Proposed Rule Comments - October 26th, 2023

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Chiquita Brooks-LaSure Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services...

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HBMA Capitol Insights Newsletter – October 20th, 2023

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HBMA Capitol Insights Newsletter – October 20, 2023 Authors: Branden Cordeiro, Matt Reiter, Emma Llewellyn and Amanda...

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HBMA Capitol Insights Newsletter – October 13th, 2023

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HBMA Capitol Insights Newsletter – October 13, 2023 Authors: Branden Cordeiro, Matt Reiter, Emma Llewellyn and Amanda...

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Washington Report - September 2023

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HBMA Washington Report September 2023 Branden Cordeiro, Matt Reiter, and Amanda Williams Congress Temporarily Averts...

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HBMA Capitol Insights Newsletter – October 6th, 2023

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HBMA Capitol Insights Newsletter – October 6, 2023 Authors: Branden Cordeiro, Matt Reiter, Emma Llewellyn and Amanda...

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HBMA Capitol Insights Newsletter – September 29th, 2023

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HBMA Capitol Insights Newsletter – September 29, 2023 Authors: Branden Cordeiro, Matt Reiter, Emma Llewellyn and Amanda...

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Digital pre-service appeal submissions required

Commercial Payer News
Dec. 1: Digital pre-service appeal submissions required Affects network commercial, Medicare Advantage and Dual Special...

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HBMA Capitol Insights Newsletter – September 22nd, 2023

Government Resources
HBMA Capitol Insights Newsletter – September 22, 2023 Authors: Branden Cordeiro, Matt Reiter, Emma Llewellyn and Amanda...

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HBMA Capitol Insights Newsletter – September 15th, 2023

Government Resources
HBMA Capitol Insights Newsletter – September 15, 2023 Authors: Branden Cordeiro, Matt Reiter, Emma Llewellyn and Amanda...

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PFS Comment Letter

Government Resources
Chiquita Brooks-LaSure Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services...

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HBMA Capitol Insights Newsletter – September 8th, 2023

Government Resources
HBMA Capitol Insights Newsletter – September 8, 2023 Authors: Branden Cordeiro, Matt Reiter, Emma Llewellyn and Amanda...

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Washington Report - August 2023

Government Resources
August 2023 HBMA Washington Report Branden Cordeiro, Matt Reiter, and Amanda Williams Previewing a Busy September on...

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CMS Pauses No Surprises Act IDR Process Again

Government Resources
CMS Pauses No Surprises Act IDR Process Again Prepared by the HBMA Government Relations Committee August 14, 2023 On...

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HBMA Capitol Insights Newsletter – September 1st, 2023

Government Resources
HBMA Capitol Insights Newsletter – September 1, 2023 Authors: Branden Cordeiro, Matt Reiter, Emma Llewellyn and Amanda...

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HBMA Capitol Insights Newsletter – August 25th, 2023

Government Resources
HBMA Capitol Insights Newsletter – August 25, 2023 Authors: Branden Cordeiro, Matt Reiter, Thomas Corddry and Amanda...

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HBMA Government Relations Committee Advocating for an End to Electronic Payment Fees to Physicians from EFT Vendors and Virtual Credit Cards

Government Resources
HBMA Government Relations Committee Advocating for an End to Electronic Payment Fees to Physicians from EFT Vendors and...

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HBMA Capitol Insights Newsletter – August 18th, 2023

Government Resources
HBMA Capitol Insights Newsletter – August 18, 2023 Authors: Branden Cordeiro, Matt Reiter, Thomas Corddry and Amanda...

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Prior authorization reduction equals nearly 20 percent of overall volume

Commercial Payer News
Prior authorization reduction equals nearly 20 percent of overall volume To help reduce the administrative burden on...

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HBMA Capitol Insights Newsletter – August 11th, 2023

Government Resources
HBMA Capitol Insights Newsletter – August 11, 2023 Authors: Branden Cordeiro, Matt Reiter, Thomas Corddry and Amanda...

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HBMA Capitol Insights Newsletter – August 4th, 2023

Government Resources
HBMA Capitol Insights Newsletter – August 4, 2023 Authors: Branden Cordeiro, Matt Reiter, Thomas Corddry and Amanda...

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Washington Report - July 2023

Government Resources
July 2023 Washington Report Branden Cordeiro, Matt Reiter, Thomas Corddry, and Amanda Williams Summary of 2024 Medicare...

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HBMA Capitol Insights Newsletter – July 28th, 2023

Government Resources
HBMA Capitol Insights Newsletter – July 28, 2023 Authors: Branden Cordeiro, Matt Reiter, Thomas Corddry and Amanda...

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HBMA Capitol Insights Newsletter – July 21st, 2023

Government Resources
HBMA Capitol Insights Newsletter – July 21, 2023 Authors: Branden Cordeiro, Matt Reiter, Thomas Corddry and Amanda...

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Summary of 2024 Medicare Physician Fee Schedule Proposed Rule

Government Resources
Summary of 2024 Medicare Physician Fee Schedule Proposed Rule Prepared by the HBMA Government Relations Committee July...

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Submit unsolicited EDI 275 claim attachments

Commercial Payer News
Submit unsolicited EDI 275 claim attachments In partnership with Optum, a UnitedHealthcare affiliate, the following 5...

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HBMA Capitol Insights Newsletter – July 14th, 2023

Government Resources
HBMA Capitol Insights Newsletter – July 14, 2023 Authors: Branden Cordeiro, Matt Reiter, Thomas Corddry and Amanda...

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HBMA Capitol Insights Newsletter – July 7th, 2023

Government Resources
HBMA Capitol Insights Newsletter – July 7, 2023 Authors: Branden Cordeiro, Matt Reiter, Thomas Corddry and Amanda...

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Washington Report - June 2023

Government Resources
June 2023 Washington Report Branden Cordeiro, Matt Reiter, Thomas Corddry and Amanda Williams HBMA Government Relations...

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HBMA Capitol Insights Newsletter - June 30th, 2023

Government Resources
HBMA Capitol Insights Newsletter – June 30, 2023 Authors: Branden Cordeiro, Matt Reiter, and Amanda Williams MedPAC...

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HBMA Capitol Insights Newsletter - June 23rd, 2023

Government Resources
HBMA Capitol Insights Newsletter – June 23, 2023 Authors: Branden Cordeiro, Matt Reiter, Thomas Corddry, and Amanda...

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More claim letters are going paperless Aug. 4

Commercial Payer News
More claim letters are going paperless Aug. 4 Change applies to UnitedHealthcare commercial plans Beginning Aug. 4,...

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HBMA Capitol Insights Newsletter - June 16th, 2023

Government Resources
HBMA Capitol Insights Newsletter – June 16, 2023 Authors: Branden Cordeiro, Matt Reiter, Thomas Corddry, and Amanda...

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Washington Report - May 2023

Government Resources
May 2023 Washington Report Branden Cordeiro, Matt Reiter and Amanda Williams President Biden and Congressional...

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HBMA Capitol Insights Newsletter - June 9th, 2023

Government Resources
HBMA Capitol Insights Newsletter – June 9, 2023 Authors: Branden Cordeiro, Matt Reiter, Thomas Corddry and Amanda...

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HBMA Capitol Insights Newsletter - June 2nd, 2023

Government Resources
HBMA Capitol Insights Newsletter – June 2nd , 2023 Authors: Branden Cordeiro, Matt Reiter, and Amanda Williams What...

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HBMA Capitol Insights Newsletter – May 26th, 2023

Government Resources
HBMA Capitol Insights Newsletter – May 26, 2023 We hope you have a great Memorial Day weekend! Authors: Branden...

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HBMA Capitol Insights Newsletter - May 19th, 2023

Government Resources
HBMA Capitol Insights Newsletter – May 19, 2023 Authors: Branden Cordeiro, Matt Reiter, and Amanda Williams Recapping a...

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HBMA Capitol Insights Newsletter - May 19th, 2023

Government Resources
HBMA Capitol Insights Newsletter – May 19, 2023 Authors: Branden Cordeiro, Matt Reiter, and Amanda Williams Recapping a...

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HBMA Capitol Insights Newsletter - May 12th, 2023

Government Resources
HBMA Capitol Insights Newsletter – May 12, 2023 Authors: Branden Cordeiro, Matt Reiter, and Amanda Williams What...

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More claim letters going digital on July 7

Commercial Payer News
More claim letters going digital on July 7 Change applies to UnitedHealthcare Medicare Advantage plans Starting July 7,...

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Washington Report - April 2023

Government Resources
April 2023 Washington Report Branden Cordeiro, Matt Reiter and Amanda Williams HBMA Provides Feedback to GAO for IDR...

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HBMA Capitol Insights Newsletter – May 5th, 2023

Government Resources
HBMA Capitol Insights Newsletter – May 5, 2023 Authors: Branden Cordeiro, Matt Reiter, and Amanda Williams What...

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HBMA Capitol Insights Newsletter – April 28th, 2023

Government Resources
HBMA Capitol Insights Newsletter – April 28, 2023 Authors: Branden Cordeiro, Matt Reiter, Gabriella Kareh, and Amanda...

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HBMA Capitol Insights Newsletter – April 21, 2023

Government Resources
HBMA Capitol Insights Newsletter – April 21, 2023 Authors: Branden Cordeiro, Matt Reiter, Gabriella Kareh, and Amanda...

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HBMA Capitol Insights Newsletter – April 21st, 2023

Government Resources
HBMA Capitol Insights Newsletter – April 21, 2023 Authors: Branden Cordeiro, Matt Reiter, Gabriella Kareh, and Amanda...

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Update Your Email Notifications in One Spot

Commercial Payer News
Update your email notifications in one spot From Document Library and TrackIt email settings to Provider News...

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HBMA Capitol Insights Newsletter – April 7, 2023

Government Resources
HBMA Capitol Insights Newsletter – April 7, 2023 Authors: Branden Cordeiro, Matt Reiter, Gabriella Kareh, and Amanda...

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HBMA Capitol Insights Newsletter – April 14, 2023

Government Resources
HBMA Capitol Insights Newsletter – April 14, 2023 Authors: Branden Cordeiro, Matt Reiter, Gabriella Kareh, and Amanda...

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Washington Report - March 2023

Government Resources
March 2023 Washington Report Branden Cordeiro, Matt Reiter and Amanda Williams CMS Resumes All Independent Dispute...

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HBMA Capitol Insights Newsletter – March 31, 2023

Government Resources
HBMA Capitol Insights Newsletter – March 31, 2023 Authors: Branden Cordeiro, Matt Reiter, Gabriella Kareh, and Amanda...

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HBMA Capitol Insights Newsletter - March 24, 2023

Government Resources
Capitol Insights Newsletter – March 24, 2023 Prepared on behalf of the Healthcare Business Management Association...

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HBMA Capitol Insights Newsletter – March 17, 2023

Government Resources
HBMA Capitol Insights Newsletter – March 17, 2023 Happy St. Patrick’s Day! Authors: Branden Cordeiro, Matt Reiter,...

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VCP statements went digital on February 3, 2023

Commercial Payer News
VCP statements went digital on February 3, 2023 If you receive virtual card payment (VCP) statements in the mail, as of...

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HBMA's Comments on CMS Prior Authorization Proposed Rule

Government Resources
March 13, 2023 The Honorable Chiquita Brooks-LaSure Administrator, Centers for Medicare & Medicaid Services U.S....

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HBMA Capitol Insights Newsletter – March 10, 2023

Government Resources
HBMA Capitol Insights Newsletter – March 10, 2023 Authors: Branden Cordeiro, Matt Reiter, Gabriella Kareh, and Amanda...

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Washington Report - February 2023

Government Resources
February 2023 Washington Report Branden Cordeiro, Matt Reiter and Amanda Williams HBMA Letter to Congress Asks for IDR...

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HBMA NSA IDR Fee Letter to the Senate

Government Resources
February 28, 2023 Hon. Ron Wyden Chair, Senate Finance Committee 219 Dirksen Senate Office Building Washington, DC...

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HBMA NSA IDR Fee Letter to the House

Government Resources
February 28, 2023 Hon. Jason Smith Chair, Committee on Ways and Means 1139 Longworth House Office Building Washington,...

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HBMA Capitol Insights Newsletter – March 3, 2023

Government Resources
HBMA Capitol Insights Newsletter – March 3, 2023 Authors: Branden Cordeiro, Matt Reiter, and Gabriella Kareh What...

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UnitedHealthcare introduces new tool to help RCMs

Commercial Payer News
UnitedHealthcare introduces new tool to help RCMs UnitedHealthcare has made it easier than ever to manage your clients’...

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HBMA Capitol Insights Newsletter – February 24, 2023 Authors: Branden Cordeiro, Matt Reiter, and Gabriella Kareh...

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HBMA Capitol Insights Newsletter – February 24, 2023

Government Resources
HBMA Capitol Insights Newsletter – February 24, 2023 Authors: Branden Cordeiro, Matt Reiter, and Gabriella Kareh...

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HBMA Capitol Insights Newsletter – February 17, 2023

Government Resources
HBMA Capitol Insights Newsletter – February 17, 2023 Authors: Branden Cordeiro, Matt Reiter, and Gabriella Kareh What...

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HBMA Capitol Insights Newsletter - February 10th, 2023

Government Resources
Capitol Insights Newsletter – February 10, 2023 Authors: Branden Cordeiro, Matt Reiter, and Gabriella Kareh Recapping...

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Washington Report - January 2023

Government Resources
January 2023 Washington Report Branden Cordeiro and Matt Reiter HBMA Testifies at NCVHS Standards Subcommittee Meeting...

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HBMA Capitol Insights Newsletter - February 3rd, 2023

Government Resources
HBMA Capitol Insights Newsletter – February 3, 2023 Authors: Branden Cordeiro, Matt Reiter and Gabriella Kareh What...

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HBMA Capitol Insights Newsletter – January 27th, 2023

Government Resources
HBMA Capitol Insights Newsletter – January 27, 2023 Authors: Branden Cordeiro, Matt Reiter and Gabriella Kareh Featured...

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Work more efficiently with the UnitedHealthcare Provider Portal

Commercial Payer News
Work more efficiently with the UnitedHealthcare Provider Portal The UnitedHealthcare Provider Portal helps you and your...

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HBMA Capitol Insights Newsletter - January 20th, 2023

Government Resources
HBMA Capitol Insights Newsletter – January 20, 2023 Authors: Branden Cordeiro and Matt Reiter What happened in Congress...

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HBMA Capitol Insights Newsletter - January 13th, 2023

Government Resources
HBMA Capitol Insights Newsletter – January 13, 2023 Authors: Branden Cordeiro and Matt Reiter What happened in Congress...

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Joint Press Release on IDR Fee Increase

Government Resources
Top Medical Associations Oppose 600 Percent Independent Dispute Resolution Fee Increase, Call on Congress for Oversight...

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Washington Report - December 2022

Government Resources
December 2022 Washington Report Branden Cordeiro and Matt Reiter Congress Passes Year-End Spending Bill Averting Many...

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HBMA Capitol Insights Newsletter - December 23rd, 2022

Government Resources
Capitol Insights Newsletter – December 23, 2022 Authors: Branden Cordeiro and Matt Reiter What happened in Congress...

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Reconsiderations and appeals are going digital

Commercial Payer News
Reconsiderations and appeals are going digital Affects network commercial and Medicare Advantage health care...

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HBMA Capitol Insight News - December 16th, 2022

Government Resources
HBMA Capitol Insights Newsletter – December 16, 2022 Authors: Branden Cordeiro, Matt Reiter and Sara Ketkar What...

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HBMA Capitol Insight News - December 9th, 2022

Government Resources
HBMA Capitol Insights Newsletter – December 9, 2022 Authors: Branden Cordeiro, Matt Reiter, and Sara Ketkar What...

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Washington Report - November 2022

Government Resources
November 2022 Washington Report Branden Cordeiro, Matt Reiter and Carolyn Bounds CMS Further Delays Enforcement of No...

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Newsletter Update - December 2nd, 2022

Government Resources
HBMA Capitol Insights Newsletter - December 2, 2022 Authors: Branden Cordeiro, Matt Reiter and Sara Ketkar What...

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Get Ready to Submit Electronically in 2023

Commercial Payer News
Get ready to submit electronically in 2023 Reconsiderations, appeals and claims are moving to digital submissions only...

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New UnitedHealthcare features makes it easier to grant third-party access

Commercial Payer News
New UnitedHealthcare features makes it easier to grant third-party access In September, based on user feedback,...

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HBMA Capitol Insight News - November 18th, 2022

Government Resources
HBMA Capitol Insights Newsletter - November 18, 2022 Authors: Branden Cordeiro, Matt Reiter and Sara Ketkar What...

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Medicare Physician Fee Schedule Final Rule - HBMA's Full Summary

Government Resources
Medicare Physician Fee Schedule Final Rule Summary On November 1st, CMS published the 2023 Medicare Physician Fee...

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Washington Report - October 2022

Government Resources
Washington Report – October 2022 Matt Reiter, Branden Cordeiro, and Carolyn Bounds CMS Publishes 2023 Medicare...

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UnitedHealthcare digital solutions: Choose what works best for your workflow

Commercial Payer News
UnitedHealthcare digital solutions: Choose what works best for your workflow When it comes to completing claim-related...

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HBMA Capitol Insight News - November 9th, 2022

Government Resources
HBMA Capitol Insights Newsletter – November 9, 2022 Authors: Branden Cordeiro, Matt Reiter and Sara Ketkar *Special...

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HBMA Capitol Insights - November 4th, 2022

Government Resources
HBMA Capitol Insights Newsletter – November 4, 2022 What happened in Washington this week? CMS released the 2023...

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HBMA Capitol Insights - October 28th, 2022

Government Resources
HBMA Capitol Insights – October 28, 2022 By: Branden Cordeiro, Matt Reiter and Sara Ketkar What happened in Washington...

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HBMA Capitol Insights Newsletter - October 21st, 2022

Government Resources
HBMA Capitol Insights Newsletter - October 21, 2022 Authors: Branden Cordeiro, Matt Reiter and Sara Ketkar Client...

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Washington Report - September 2022

Government Resources
Washington Report – September 2022 Matt Reiter, Branden Cordeiro, and Carolyn Bounds Please visit HBMA’s dedicated...

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Portal: New look, plus more personalization

Commercial Payer News
Portal: New look, plus more personalization Ever wish you could set up the UnitedHealthcare Provider Portal to fit your...

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Washington Report - August 2022

Government Resources
Washington Report – August 2022 Matt Reiter, Branden Cordeiro, and Carolyn Bounds Please visit HBMA’s dedicated...

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HBMA 2023 PFS Proposed Rule Comments

Government Resources
September 6, 2022 Administrator Chiquita Brooks-LaSure Centers for Medicare & Medicaid Services Department of Health...

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Bind is Changing it's Name to Surest

Commercial Payer News
Bind is changing its name to Surest Bind, a UnitedHealthcare company, is changing its name to SurestTM . This change...

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Washington Report - July 2022

Government Resources
Washington Report – July 2022 Matt Reiter, Branden Cordeiro, and Carolyn Bounds CMS Publishes 2023 Medicare Physician...

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See What's Ahead in Paperless

Commercial Payer News
Overpayment letters won’t be mailed after Sept. 23 Beginning Sept. 23, 2022, we will no longer print and mail...

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Washington Report - June 2022

Government Resources
Washington Report – June 2022 Matt Reiter, Branden Cordeiro and Carolyn Bounds Please visit HBMA’s dedicated COVID-19...

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TrackIt: A daily to-do list that's customized just for you.

Commercial Payer News
TrackIt: A daily to-do list that’s customized just for you Wondering if the prior authorization you submitted last week...

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Washington Report - May 2022

Government Resources
Washington Report – May 2022 Matt Reiter, Bill Finerfrock, Branden Cordeiro and Carolyn Bounds Please visit HBMA’s...

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HBMA Congratulates Comprehensive Billing Consultants on their Compliance Re-Accreditation

Press Releases
HBMA CONGRATULATES COMPREHENSIVE BILLING CONSULTANTS ON COMPLIANCE ACCREDITATION Comprehensive Billing Consultants...

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Washington Report - April 2022

Government Resources
Washington Report – April 2022 Matt Reiter, Bill Finerfrock, Branden Cordeiro and Carolyn Bounds Please visit HBMA’s...

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Central/Southeast/Northeast regions: Prior authorization and clinical decision letters are going paperless

Commercial Payer News
To find the article regarding United Healthcare and the "Prior authorization and clinical decision letters are going...

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HBMA Congratulates NCDS Medical Billing on their Compliance Re-Accreditation

Press Releases
HBMA CONGRATULATES NCDS MEDICAL BILLING ON COMPLIANCE ACCREDITATION NCDS Medical Billing is recognized by the program...

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A Guide to Understanding the No Surprises Act

Government Resources
A Guide to Understanding the No Surprises Act Last Updated: April 18, 2022 This document will be updated as new...

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HBMA Congratulates SyMed Corporation on Compliance Re-Accreditation

Press Releases
HBMA CONGRATULATES SYMED CORPORATION ON COMPLIANCE RE-ACCREDITATION SyMed Corporation recognized for program to protect...

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HBMA Congratulates Equinox Provider Practice Solutions on their Compliance Re-Accreditation

Press Releases
CONTACT: Brad Lund 04/27/2022 (202) 367-1279 info@hbma.org HBMA CONGRATULATES EQUINOX PROVIDER PRACTICE SOLUTIONS ON...

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New Enhancements Make Prior Authorization and Notifications Easier

New enhancements make prior authorization and notifications easier Two new enhancements within the Prior Authorization...

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New Enhancements Make Prior Authorization and Notifications Easier

Commercial Payer News
New enhancements make prior authorization and notifications easier Two new enhancements within the Prior Authorization...

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HBMA Congratulates Acclaim Radiology Management on Compliance Accreditation

Press Releases
HBMA CONGRATULATES ACCLAIM RADIOLOGY MANAGEMENT ON COMPLIANCE RE-ACCREDITATION Acclaim Radiology Management is...

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Washington Report - March 2022

Government Resources
Washington Report – March 2022 CMS Announces New Information about No Surprises Act IDR Process and Good Faith Estimate...

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HBMA Congratulates Mid-Michigan Medical Management on their Compliance Re-Accreditation

Press Releases
HBMA CONGRATULATES MID-MICHIGAN MEDICAL MANAGEMENT ON COMPLIANCE RE-ACCREDITATION Mid-Michigan Medical Management is...

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New 90-day Demographic Verification Requirement

Commercial Payer News
New 90-day demographic verification requirement Last update Feb. 8, 2022 Beginning Jan. 1, 2022, health care...

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HBMA Congratulates Ulrich Medical Concepts on Compliance Accreditation

Press Releases
HBMA CONGRATULATES ULRICH MEDICAL CONCEPTS ON COMPLIANCE ACCREDITATION ULRICH MEDICAL CONCEPTS is recognized by the...

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No Surprises Billing Act

Commercial Payer News
https://www.aetna.com/health-care-professionals/fed-no-surprises-act.html

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Telemedicine

Commercial Payer News
https://www.aetna.com/health-care-professionals/covid-faq/telemedicine.html

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No Surprises Billing Act

Commercial Payer News
https://www.cigna.com/employers-brokers/insights/informed-on-reform/news/consolidated-appropriations-act-signed-into-law

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Telemedicine

Commercial Payer News
https://www.cigna.com/individuals-families/member-resources/virtual-care-options

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No Surprises Billing Act

Commercial Payer News
https://docushare-web.apps.external.pioneer.humana.com/Marketing/docushare-app?file=4613232

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Telemedicine

Commercial Payer News
https://www.humana.com/provider/coronavirus

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No Surprises Billing Act

To find the article regarding United Healthcare and the No Surprises Billing act, please look in the HBMA Document...

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No Surprises Billing Act

Commercial Payer News
To find the article regarding United Healthcare and the No Surprises Billing act, please look in the HBMA Document...

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Telemedicine

Commercial Payer News
https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-reimbursement/COMM-Telehealth-and-Telemedicin...

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Washington Report - February 2022

Government Resources
Providers Score Win in No Surprises Act Lawsuit Providers scored a big No Surprises Act legal win against the...

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HBMA Congratulates Medicus Billing and Consulting, Inc on Compliance Accreditation

Press Releases
Medicus Billing and Consulting, Inc recognized for program to protect patient privacy, prevent medical billing fraud,...

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Providers Score Win in No Surprises Act Lawsuit

Government Resources
Providers scored a big No Surprises Act legal win yesterday. A District Court in Texas sided with the Texas Medical...

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Washington Report - January 2022

Government Resources
OSHA Withdraws COVID-19 Vaccine Mandate for Private Employers While CMS Announces New Deadlines for Healthcare Worker...

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HBMA Congratulates Pettigrew on Compliance Accreditation

Press Releases
Pettigrew recognized for program to protect patient privacy, prevent medical billing fraud, and comply with federal...

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UnitedHealthcare News: Internet Explorer 11 users: Change your web browser to maintain UHCprovider.com and portal access

Commercial Payer News
Internet Explorer 11 users: Change your web browser to maintain UHCprovider.com and portal access Starting Feb. 2,...

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HBMA Congratulates Advanced Pacific Medical, LLC on Compliance Accreditation

Press Releases
Advanced Pacific Medical, LLC recognized for program to protect patient privacy, prevent medical billing fraud, and...

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Washington Report - December 2021

Government Resources
No Surprises Act Takes Effect On January 1st On January 1st the No Surprises Act’s (NSA) took effect. This includes the...

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A Guide to Understanding the No Surprises Act

Read the Guide. In December of 2020, Congress passed the No Surprises Act (NSA), which protects patients from...

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Humana News: Understand Humana’s application of Medicare NCDs and LCDs

Commercial Payer News
Understand Humana’s application of Medicare NCDs and LCDs NCDs are established by the Centers for Medicare & Medicaid...

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UnitedHealthcare News: Genetic Prior Authorization Waiver Expiring

Commercial Payer News
Genetic prior authorization waiver expiring On June 1, 2021, we began transitioning genetic testing to the new Prior...

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Washington Report - November 2021

Government Resources
House Bill Delays Medicare Cuts as Part of End-of-Year Legislative Activity; Senate to Vote Soon The House of...

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Humana News: Don’t miss the updated list of Humana’s key tools and resources!

Commercial Payer News
Don’t miss the latest updates to Humana’s key tools and resources! Having the right tools and resources is incredibly...

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UnitedHealthcare News: API: Improve Efficiency and Reduce Cost

Commercial Payer News
API: Improve efficiency and reduce cost with real-time data exchange Application Programming Interfaces — more commonly...

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2022 Physician Fee Schedule Final Rule

Government Resources
The Centers for Medicare and Medicaid Services published the 2022 Medicare Physician Fee Schedule (FPS) Final Rule....

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Biden Administration Issues Regulations Implementing Vaccine Mandates

Government Resources
The Biden Administration issued regulations implementing COVID-19 vaccine mandates for certain healthcare facilities...

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Washington Report - October 2021

Government Resources
CMS Issues Medicare Physician Fee Schedule and Outpatient Prospective Payment System Final Rules CMS issued the 2022...

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HBMA Congratulates Professional Practice Resources on Compliance Re-Accreditation

Press Releases
Professional Practice Resources recognized for program to protect patient privacy, prevent medical billing fraud, and...

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HBMA Congratulates ALN Medical Management on Compliance Re-Accreditation

Press Releases
ALN Medical Management recognized for program to protect patient privacy, prevent medical billing fraud, and comply...

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October UnitedHealthcare News: Managing information in the portal just got simpler

Commercial Payer News
We’ve improved the process for managing user access and new user registration By end of year, all self-service tools...

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No Surprises Act Interim Final Rule 2 Summary

Government Resources
On September 30th , the Department of Health and Human Services (HHS), Department of Labor (DOL) and Department of...

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Washington Report - September 2021

Washington Report – September 2021 Matt Reiter, Bill Finerfrock and Carolyn Bounds Surprise Billing Regulation Gives...

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Washington Report - September 2021

Government Resources
Washington Report – September 2021 Matt Reiter, Bill Finerfrock and Carolyn Bounds Surprise Billing Regulation Gives...

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EDPMA, HBMA, and RBMA Raise Concerns Over Insurer Windfall in No Surprises Act Rule

Press Releases
The organizations urge the Departments to reconsider their approach and follow clear Congressional intent WASHINGTON –...

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Cigna Digital Solutions October - November 2021 Webinar Schedule

Commercial Payer News
Cigna Digital Solutions October - November 2021 Webinar Schedule You’re invited to join interactive, web-based...

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HBMA Congratulates Quantum Medical Billing LLC on Compliance Re-Accreditation

Press Releases
Quantum Medical Billing LLC recognized for program to protect patient privacy, prevent medical billing fraud, and...

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September UnitedHealthcare News: Document Vault is now Document Library

Commercial Payer News
New name, better features Document Vault is now Document Library Document Vault has been renamed Document Library. It’s...

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HBMA 2021 Board Election Results

Member News
HBMA Welcomes New and Returning Board Members! The 2021 HBMA Board of Directors Election closed on Wednesday, September...

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September Humana News: Understand how to access and interpret your explanation of remittance (EOR).

Commercial Payer News
Understand how to access and interpret your explanation of remittance (EOR). Humana’s “Making It Easier for Physicians...

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Cigna Digital Solutions September - October 2021 Webinar Schedule

Commercial Payer News
Cigna Digital Solutions September - October 2021 Webinar Schedule You’re invited to join interactive, web-based...

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August UnitedHealthcare News: Speed Up Your Work with TrackIt

Commercial Payer News
Speed up your work with TrackIt If you’ve ever wondered where you are in the claims and prior authorization process,...

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August Humana News: Discover more about Humana's updated billing guidelines for home health services

Commercial Payer News
Discover more about Humana’s updated billing guidelines for home health services There are two primary approaches to...

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HBMA Congratulates Equinox Provider Practice Solutions on Compliance Re-Accreditation

Press Releases
Equinox Provider Practice Solutions recognized for program to protect patient privacy, prevent medical billing fraud,...

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HBMA Board of Directors Election Now Open!

Member News
Cast Your Vote! The HBMA Nominations Committee has selected a slate of five (5) candidates to run for the Board of...

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HBMA Announces New Partnership with Best Card

Press Releases
HBMA Announces New Partnership with Best Card Washington | August 11, 2021 – The Healthcare Business Management...

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Washington Report - July 2021

Government Resources
Washington Report – July 2021 Matt Reiter, Bill Finerfrock and Carolyn Bounds CMS Publishes Medicare Physician Fee...

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Summary of 2022 Physician Fee Schedule Proposed Rule

Government Resources
On July 13th , the Centers for Medicare and Medicaid Services (CMS) published the 2022 Medicare Physician Fee Schedule...

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Cigna Digital Solutions Q3 2021 Webinar Schedule

Commercial Payer News
Cigna Digital Solutions Late July - August 2021 Webinar Schedule You’re invited to join interactive, web-based...

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Washington Report-June 2021

Government Resources
Washington Report – June 2021 Matt Reiter, Bill Finerfrock and Carolyn Bounds HHS Publishes First Surprise Billing...

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Summary of No Surprises Act Interim Final Rule

Government Resources
On July 1st, the Centers for Medicare and Medicaid Services (CMS) along with the Department of Treasury and the...

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July 2021 Cigna News: You asked. We delivered.

Commercial Payer News
Too busy to attend a webinar but you’d like to know about recent enhancements on CignaforHCP.com ? In less than five...

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Cigna Digital Solutions July - August 2021 Webinar Schedule

Cigna Digital Solutions July - August 2021 Webinar Schedule You’re invited to join interactive, web-based...

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Cigna Digital Solutions July - August 2021 Webinar Schedule

Commercial Payer News
Cigna Digital Solutions July - August 2021 Webinar Schedule You’re invited to join interactive, web-based...

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July UnitedHealthcare News: Web Browsers Must be Updated by August

UnitedHealthcare online tools and web compatibility On Aug. 17, 2021, Internet Explorer 11 will no longer be supported...

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July UnitedHealthcare News: Web Browsers Must be Updated by August

Commercial Payer News
UnitedHealthcare online tools and web compatibility On Aug. 17, 2021, Internet Explorer 11 will no longer be supported...

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HBMA Congratulates Dexios Corporation on Compliance Re-Accreditation

Press Releases
Dexios Corporation recognized for program to protect patient privacy, prevent medical billing fraud, and comply with...

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Summary of Updated Provider Relief Fund Guidance Regarding Use of Funds and Reporting Details

Government Resources
On June 11, 2021, the Department of Health and Human Services (HHS) released new guidance on the Provider Relief Fund...

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U.S. Supreme Court Dismisses Challenge to ACA Individual Mandate

Government Resources
U.S. Supreme Court Dismisses Challenge to ACA Individual Mandate Earlier today, the U.S. Supreme Court issued a 7-2...

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Call for Nominations for the HBMA Board of Directors

Member News
We are seeking dedicated professionals to commit to serving as Directors on HBMA's Board. Serving HBMA in this...

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Call for Nominations for the 2021 HBMA Awards

Member News
HBMA recognizes member contributions to the Association each year with the presentation of the HBMA Awards . This year,...

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Washington Report - May 2021

Government Resources
Washington Report – May 2021 Matt Reiter, Bill Finerfrock and Carolyn Bounds CMS Reweights 2020 MIPS Cost Category to...

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HBMA Expresses Concerns to Congress over New Proposed Federal Debt Collection Restrictions

Member News
On June 7, 2021, HBMA wrote to the leadership of the Senate Committee on Banking, Housing and Urban Affairs to express...

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HBMA Expresses Concerns to Congress over New Proposed Federal Debt Collection Restrictions

HBMA News
On June 7, 2021, HBMA wrote to the leadership of the Senate Committee on Banking, Housing and Urban Affairs to express...

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HBMA Congratulates NCDS Medical Billing on Compliance Re-Accreditation

Press Releases
NCDS Medical Billing recognized for program to protect patient privacy, prevent medical billing fraud, and comply with...

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June Humana News: Updated List of Humana’s Key "Tools and Resources"

Commercial Payer News
Don’t miss the latest updates to Humana’s key “Tools and Resources” Having the right tools and resources is incredibly...

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Aetna Monthly Webinar Schedule

Commercial Payer News
Aetna offers interactive, live webinars to help you use their online resources and put more time back in your day....

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Humana Provider Portal Webinars and Resources

Commercial Payer News
Humana representatives are here to help physicians and other healthcare professionals use online resources to work with...

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June UnitedHealthcare News: Reminder: We Transitioned to InterQual on May 1

Commercial Payer News
As previously announced, UnitedHealthcare transitioned to evidence-based InterQual® clinical criteria to support...

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Washington Report – April 2021 Matt Reiter, Bill Finerfrock and Carolyn Bounds President Biden Proposes Permanent ACA...

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Washington Report - April 2021

Government Resources
Washington Report – April 2021 Matt Reiter, Bill Finerfrock and Carolyn Bounds President Biden Proposes Permanent ACA...

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May Humana News: Searching for answers to your questions about DME items?

Commercial Payer News
Healthcare professionals often have questions about durable medical equipment (DME). The “DME – Guidance Highlights”...

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May 2021 UnitedHealthcare News: Application Programming Interfaces (API)

Commercial Payer News
API: Improve efficiency and reduce cost with real-time data exchange Application Programming Interfaces — more commonly...

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Washington Report- March 2021

Washington Report – March 2021 Matt Reiter, Bill Finerfrock and Carolyn Bounds CMS Announces Temporary Hold on Claims...

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Washington Report - March 2021

Government Resources
Washington Report – March 2021 Matt Reiter, Bill Finerfrock and Carolyn Bounds CMS Announces Temporary Hold on Claims...

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April Humana News: Information about Claim Processing and Edit Notifications

Commercial Payer News
Looking for more information about claim processing edit notifications? Humana’s process for providing advance...

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April 2021 UnitedHealthcare News: UnitedHealthcare Provider Portal

Commercial Payer News
Digital Solutions for your Workday We want to make it easier to work with us. That's why our digital services now...

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Washington Report-February 2021

Government Resources
Washington Report – February 2021 Matt Reiter, Bill Finerfrock and Carolyn Bounds House of Representatives Passes $1.9...

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Summary of the American Rescue Plan

Government Resources
On March 10th, Congress passed the $1.9 trillion American Rescue Plan (ARP), which provides in new COVID-19 relief as...

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HBMA Congratulates MedEvolve Inc. on Compliance Re-Accreditation

Press Releases
MedEvolve Inc. recognized for program to protect patient privacy, prevent medical billing fraud, and comply with...

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CMS Expands MIPS Extreme and Uncontrollable Circumstances Policy to Exempt Clinicians from Negative Payment Adjustments

Government Resources
On February 25th , the Centers for Medicare and Medicaid Services (CMS) announced that it will exempt all MIPS-eligible...

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HBMA Congratulates Accupro Services on Compliance Re-Accreditation

Press Releases
AccuPro Services recognized for program to protect patient privacy, prevent medical billing fraud, and comply with...

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Washington Report- January 2021

Government Resources
Washington Report – January 2021 Matt Reiter, Bill Finerfrock and Carolyn Bounds President Biden Signs Regulatory Pause...

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Cigna Digital Solutions February - March 2021 Webinar Schedule

Commercial Payer News
Cigna Digital Solutions February-March 2021 Webinar Schedule You’re invited to join interactive, web-based...

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February 2021 Cigna News: Online Claims Reconsideration Requests

Commercial Payer News
Claims Reconsideration Online The ability to submit claim reconsideration requests via the Cigna for Health Care...

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February Humana News: Access Humana’s contracting and credentialing resources conveniently online

Commercial Payer News
Want to learn more about joining the Humana network and the Humana credentialing process, but don’t know where to...

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HBMA Congratulates Advanced Pacific Medical Billing, LLC on Compliance Reaccreditation

Press Releases
Advanced Pacific Medical Billing, LLC recognized for program to protect patient privacy, prevent medical billing fraud,...

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HBMA Congratulates Mid Michigan Medical Management on Compliance Accreditation

Press Releases
Mid Michigan Medical Management recognized for program to protect patient privacy, prevent medical billing fraud, and...

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HBMA Congratulates Emax Medical Billing on Compliance Re-Accreditation

Press Releases
Emax recognized for program to protect patient privacy, prevent medical billing fraud, and comply with federal...

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Washington Report-December 2020

Government Resources
Washington Report – December 2020 Matt Reiter, Bill Finerfrock and Carolyn Bounds Year-end Bill Funds the Government...

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Summary of HHS OCR Proposed Rule Updating the HIPAA Privacy Rule

Government Resources
Summary of HHS OCR Proposed Rule Updating the HIPAA Privacy Rule On December 10th, the Department of Health and Human...

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January 2021 Aetna News: Tips on Credentialing and Contracting your Clients with Aetna

Commercial Payer News
We work closely with members of the Commercial Payer Relations Committee on issues important to HBMA members. Members...

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January Humana News: Key benefits to Humana’s Medical Records Management (MRM) tool on Availity Portal

Commercial Payer News
Submitting medical records with Humana’s online MRM tool offers many advantages. The tool lets you easily view record...

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HBMA No Surprises Act Letter to Congress

Government Resources
The Healthcare Business Management Association (HBMA) appreciates efforts by Congress to reach an agreement on...

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Washington Report - November 2020

Government Resources
Washington Report – November 2020 Matt Reiter, Bill Finerfrock and Carolyn Bounds CMS Publishes 2020 Medicare Physician...

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HBMA Congratulates Quantum Medical Billing, LLC on Compliance Re-Accreditation

Press Releases
Quantum Medical Billing, LLC recognized for program to protect patient privacy, prevent medical billing fraud, and...

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Summary of 2021 Medicare Physician Fee Schedule Final Rule

Government Resources
Summary of 2021 Medicare Physician Fee Schedule Final Rule On December 1st , the Centers for Medicare and Medicaid...

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December Humana News: Unlock your access to the latest tools for working with Humana online

Commercial Payer News
Unlock your access to the latest tools for working with Humana online The Availity Provider Portal on Availity.com has...

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Washington Report-October 2020

Government Resources
Washington Report – October 2020 Matt Reiter, Bill Finerfrock and Carolyn Bounds 2020 Election Results Update As of the...

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November Humana News: Understand Humana's application of Medicare NCDs and LCDs

Commercial Payer News
Understand Humana’s application of Medicare NCDs and LCDs NCDs are established by the Centers for Medicare & Medicaid...

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HBMA Congratulates Professional Billing and Management Services, Inc. on Compliance Re-Accreditation

Press Releases
Professional Billing and Management Services, Inc. recognized for program to protect patient privacy, prevent medical...

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HBMA Congratulates Professional Practice Resources on Compliance Accreditation

Press Releases
Professional Practice Resources recognized for program to protect patient privacy, prevent medical billing fraud, and...

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Washington Report - September 2020

Government Resources
Matt Reiter, Bill Finerfrock and Carolyn Bounds HBMA Submits Comments to CMS on 2021 Medicare Physician Fee Schedule On...

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HBMA Congratulates ALN Medical Management, Inc. on Compliance Re-Accreditation

Press Releases
A LN Medical Management Inc , Inc. recognized for program to protect patient privacy, prevent medical billing fraud,...

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HBMA Submits Comments to CMS on 2021 Proposed Medicare Physician Fee Schedule

Government Resources
On October 5th , HBMA submitted extensive comments to CMS on the 2021 Medicare Physician Fee Schedule proposed rule....

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October Humana News: Simplify Overpayments by Managing them Online

Commercial Payer News
The Overpayments tool on Availity Portal makes managing Humana overpayments easier than ever. You can reduce...

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October 2020 Cigna News: Take a Tour of Key Areas of the Cigna Website

Commercial Payer News
Get critical Eligibility and Benefits information about your patients on CignaforHCP.com 24/7. This quick tour...

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Cigna Digital Solutions Q4 2020 Webinar Schedule

Commercial Payer News
Cigna Digital Solutions Q4 2020 Webinar Schedule You’re invited to join interactive, web-based demonstrations of the...

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September 2020 Cigna News: Take a Tour of Key Areas of the Cigna Website

Commercial Payer News
Cigna has a new feature that gives you the ability to generate a benefit reference number (BRN) when performing an...

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Washington Report-August 2020

Government Resources
Washington Report – August 2020 Bill Finerfrock, Matt Reiter and Carolyn Bounds Please visit HBMA’s dedicated COVID-19...

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August 2020 Cigna News: Take a Tour of Key Areas of the Cigna Website

Commercial Payer News
Cigna has been working to improve the performance of its secure website and optimize the user experience. This quick...

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Washington Report-July 2020

Government Resources
Washington Report – July 2020 Bill Finerfrock, Matt Reiter and Carolyn Bounds Please visit HBMA’s dedicated COVID-19...

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Summary of 2021 Medicare Physician Fee Schedule Proposed Rule

Government Resources
On August 3rd, the Centers for Medicare and Medicaid Services (CMS) published the 2021 Medicare Physician Fee Schedule...

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2021 Physician Fee Schedule Proposed Rule

Government Resources
On August 3, 2020, the Centers for Medicare and Medicaid Services (CMS) released the 2021 Medicare Physician Fee...

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August Humana News: Discover more about Humana’s updated billing guidelines for home health services

Commercial Payer News
Humana has two approaches for reimbursing home health services for Medicare Advantage plans, episodes of care and per...

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August 2020 Cigna News: Invitation to Join the Electronic Solutions Advisory Council

Commercial Payer News
Based on the helpful insight and feedback about digital solutions you have provided in the past, we would like to...

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HBMA Congratulates Applied Medical Systems, Inc. on Compliance Re-Accreditation

Press Releases
HBMA CONGRATULATES APPLIED MEDICAL SYSTEMS, INC. ON COMPLIANCE RE-ACCREDITATION Applied Medical Systems, Inc....

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Washington Report-June 2020

Government Resources
Washington Report – June 2020 Bill Finerfrock, Matt Reiter, Carolyn Bounds and Emma Finerfrock Please visit HBMA’s...

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HBMA Congratulates Dexios Corporation on Compliance Re-Accreditation

Press Releases
HBMA CONGRATULATES DEXIOS CORPORATION ON COMPLIANCE RE-ACCREDITATION Dexios Corporation recognized for program to...

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July Humana News: Don’t miss the latest updates to Humana’s key “Tools and Resources”

Commercial Payer News
Having the right tools and resources is incredibly helpful when you’re trying to understand policies and processes that...

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July 2020 Cigna News: Digital Solutions July-August 2020 Webinar Schedule

Commercial Payer News
Cigna Digital Solutions July - August 2020 Webinar Schedule You’re invited to join interactive, web-based...

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HBMA Congratulates Comprehensive Billing Consultants on Compliance Accreditation

Press Releases
HBMA CONGRATULATES COMPREHENSIVE BILLING CONSULTANTS ON COMPLIANCE ACCREDITATION Comprehensive Billing Consultants...

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HBMA Congratulates NCDS Medical Billing on Compliance Re-Accreditation

Press Releases
HBMA CONGRATULATES NCDS MEDICAL BILLING ON COMPLIANCE RE-ACCREDITATION NCDS Medical Billing recognized for program to...

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Washington Report-May 2020

Government Resources
Washington Report – May 2020 Bill Finerfrock, Matt Reiter, Carolyn Bounds and Emma Finerfrock Please visit HBMA’s...

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June Humana News: Many Valuable Resources are Available Online

Commercial Payer News
To make it quicker and easier to find claims-related information you need, many valuable resources about working with...

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Washington Report-April 2020

Government Resources
Washington Report – April 2020 Bill Finerfrock, Matt Reiter and Carolyn Bounds Please visit HBMA’s dedicated COVID-19...

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HBMA Congratulates Advanced Billing LLC on Compliance Accreditation

Press Releases
HBMA CONGRATULATES ADVANCED BILLING, LLC ON COMPLIANCE ACCREDITATION Advanced Billing, LLC recognized for program to...

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May Humana News: Find Humana’s COVID-19 Resources Online

Commercial Payer News
Humana remains committed to supporting healthcare billing professionals during the COVID-19 outbreak. To make things...

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May 2020 Cigna News: Digital Solutions Second Quarter 2020 Webinar Schedule

Commercial Payer News
Cigna Digital Solutions May - June 2020 Webinar Schedule You’re invited to join interactive, web-based demonstrations...

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Availity Administrator 2-Step Authentication Process

Commercial Payer News
Enroll in 2-Step Authentication as an administrator Beginning February 3, 2020, only the primary administrator of each...

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Washington Report-March 2020 Issue

Government Resources
Washington Report – March 2020 Bill Finerfrock, Matt Reiter and Carolyn Bounds Please visit HBMA’s dedicated COVID-19...

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Availity Update: COVID-19: Checking Benefits and Filing Claims

Commercial Payer News
Availity's mission is to provide valuable information for your everyday workflow. With the uncertainty surrounding the...

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Coronavirus Disease (COVID-19) Update

Congress The House Energy and Commerce (E&C) Committee hopes to include its bill to address unexpected out-of-network...

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April Humana News: Access Humana’s Contracting and Credentialing Resources Conveniently Online

Commercial Payer News
Want to learn more about joining the Humana network and the Humana credentialing process, but don’t know where to...

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Aetna COVID-19 Updates

Commercial Payer News
Find updates from Aetna on COVID-19 online within Aetna’s Payer Space on Availity and on Aetna Plan Central on NaviNet....

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Cigna COVID-19 Updates

Commercial Payer News
Find updates from Cigna on COVID-19 online at: https://cignaforhcp.cigna.com/ .

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UnitedHealthcare COVID-19 Updates

Commercial Payer News
Find updates from UnitedHealthcare on COVID-19 online at:...

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Humana COVID-19 Updates

Commercial Payer News
Humana has a provider-facing website on COVID-19 that can be used as a resource. The link is...

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UnitedHealthcare Telehealth/Telemedicine Policies

Commercial Payer News
UnitedHealthcare has posted information regarding their policies to...

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Washington Report- February 2020

Government Resources
Washington Report – February 2020 Bill Finerfrock, Matt Reiter and Carolyn Bounds HBMA “Surprise” Medical Billing...

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March Humana News: Code Edit Simulations Can Speed Up Processing and Payments

Commercial Payer News
Coding issues can slow down claims processing, resulting in delayed payments. Avoid unnecessary delays by using...

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HBMA Comparison of “Surprise” Billing Legislative Proposals

Government Resources
HBMA's Government Relations Committee released a new member-exclusive side-by-side analysis of leading bipartisan...

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HBMA Congratulates MedEvolve Inc. On Compliance Accreditation

Press Releases
FOR IMMEDIATE RELEASE CONTACT: Kurt Gallagher (202) 367-1279 HBMA Congratulates MedEvolve Inc. On Compliance...

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HBMA Congratulates MedEvolve Inc. On Compliance Accreditation

FOR IMMEDIATE RELEASE CONTACT: Kurt Gallagher (202) 367-1279 HBMA Congratulates MedEvolve Inc. On Compliance...

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HBMA Congratulates AccuPro Services, Ltd. on Compliance Accreditation

Press Releases
FOR IMMEDIATE RELEASE CONTACT: Kurt Gallagher (202) 367-1279 HBMA Congratulates AccuPro Services, Ltd. on Compliance...

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HBMA Congratulates Psych Administrative Partners on Compliance Accreditation

Press Releases
FOR IMMEDIATE RELEASE CONTACT: Kurt Gallagher (202) 367-1279 HBMA CONGRATULATES PSYCH ADMINISTRATIVE PARTNERS ON...

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Washington Report- January 2020

Government Resources
Washington Report – January 2020 Bill Finerfrock, Matt Reiter and Carolyn Bounds House Committees Introduce New...

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HBMA/Coalition Opposes Texas Plan to Tax Medical Billing Services

Government Resources
HBMA is collaborating with a number of national and state-based organizations on overturning a decision by the Texas...

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HBMA Congratulates Advanced Pacific Medical, LLC on Compliance Re-Accreditation

FOR IMMEDIATE RELEASE CONTACT: Kurt Gallagher (202) 367-1279 HBMA CONGRATULATES ADVANCED PACIFIC MEDICAL, LLC ON...

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HBMA Congratulates Advanced Pacific Medical, LLC on Compliance Re-Accreditation

Press Releases
FOR IMMEDIATE RELEASE CONTACT: Kurt Gallagher (202) 367-1279 HBMA CONGRATULATES ADVANCED PACIFIC MEDICAL, LLC ON...

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HBMA Congratulates Advanced Pacific Medical, LLC on Compliance Re-Accreditation

HBMA News
FOR IMMEDIATE RELEASE CONTACT: Kurt Gallagher (202) 367-1279 HBMA CONGRATULATES ADVANCED PACIFIC MEDICAL, LLC ON...

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February 2020 Cigna News: CignaforHCP.com is Getting a Facelift

Commercial Payer News
CignaforHCP.com is Getting a Facelift The Cigna for Health Care Professionals website (CignaforHCP.com ) is undergoing...

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February 2020 Humana News: Unlock your Access to the Latest Tools for Working with Humana Online

Commercial Payer News
Unlock your Access to the Latest Tools for Working with Humana Online The Availity Provider Portal on Availity.com has...

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February 2020 UnitedHealthcare News: Use EDI and Link to Quickly Get the Information You Need

Commercial Payer News
Using a combination of the two for eligibility information, claims rework, posting payments and updating care provider...

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Washington Report-December 2019 Issue

Government Resources
Washington Report – December 2019 Bill Finerfrock, Matt Reiter and Carolyn Bounds Appeals Court Ruling Renews the ACA’s...

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HBMA Submits Public Information Act Request on Texas Sales Tax Opinion

Government Resources
HBMA submitted a Public Information Act Request (a.k.a. FOIA request) to the Texas Comptroller of Public Accounts for...

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January 2020 Humana News: Experience the New Virtual Agent, Powered by AI

Commercial Payer News
Do you call Humana frequently? This may help! Humana is inviting you to experience its new virtual agent, powered by...

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HBMA Expresses RCM Industry Comments to House-Senate Committees on "Surprise" Billing Compromise

Government Resources
On Sunday, December 8th , the House Energy and Commerce (E&C) Committee and the Senate Health, Education, Labor and...

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December 2019 Humana News: Understand the Impact of Maximum Unit Values

Commercial Payer News
Following maximum unit limitations helps Humana ensure accurate reimbursement by preventing payment for services or...

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Q4 2019 Commercial Corner - News from the CPR Committee

Commercial Payer News
Commercial Corner: CPR is Working For You! The Commercial Payer Relations (CPR) Committee is excited to provide HBMA...

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December 2019 UnitedHealthcare News: Easier Submission of Professional Corrected Claims

Commercial Payer News
No Need to Upload a Claim Form You might be familiar with submitting corrected claims through the reconsideration...

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Washington Report - October 2019 Issue

Government Resources
Washington Report – October 2019 (Covers activity between 10/1/19 and 10/31/19) Bill Finerfrock, Matt Reiter, Jordyn...

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Summary of CMS Releases Price Transparency Regulations for Hospitals and Insurers

Government Resources
On November 15th, the Centers for Medicare and Medicaid Services (CMS) announced two regulations that are intended to...

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HBMA Congratulates Emax Medical Billing on Compliance Re-Accreditation

Press Releases
FOR IMMEDIATE RELEASE CONTACT: Kurt Gallagher (202) 367-1279 HBMA CONGRATULATES EMAX MEDICAL BILLING ON COMPLIANCE...

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November 2019 Humana News: Get a better grasp on Humana’s application of Medicare NCDs and LCDs

Commercial Payer News
National coverage determinations (NCDs) and local coverage determinations (LCDs) are medical coverage policies that...

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November 2019 UnitedHealthcare News: Use Smart Edits to Help Speed Up Claims Processing

Commercial Payer News
Take Advantage of Your Smart Edits If you submit claims by electronic data interchange (EDI), you’re already receiving...

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November 2019 Cigna News: Digital Solutions First Quarter 2020 Webinar Schedule

Cigna Digital Solutions December 2019 - March 2020 Webinar Schedule You’re invited to join interactive, web-based...

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November 2019 Cigna News: Digital Solutions First Quarter 2020 Webinar Schedule

Commercial Payer News
Cigna Digital Solutions December 2019 - March 2020 Webinar Schedule You’re invited to join interactive, web-based...

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October 2019 UnitedHealthcare News: Second Annual UnitedHealthcare Week for HBMA

Commercial Payer News
We Need Your Feedback We hope you were able to attend the second annual UnitedHealthcare Week for HBMA virtual...

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Washington Report - September 2019 Issue

Government Resources
Washington Report – September 2019 (Covers activity between 9/1/19 and 9/30/19) Bill Finerfrock, Matt Reiter, Jordyn...

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HBMA Congratulates ALN Medical Management on Compliance Accreditation

Press Releases
FOR IMMEDIATE RELEASE CONTACT: Kurt Gallagher (202) 367-1279 HBMA CONGRATULATES ALN MEDICAL MANAGEMENT ON COMPLIANCE...

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HBMA Congratulates Quantum Medical Billing LLC on Compliance Accreditation

Press Releases
FOR IMMEDIATE RELEASE CONTACT: Kurt Gallagher (202) 367-1279 HBMA CONGRATULATES QUANTUM MEDICAL BILLING LLC ON...

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HBMA Submits Comments to CMS on the Hospital Outpatient Prospective Payment Proposed Rule

Government Resources
On September 27, 2019, HBMA submitted comments to CMS on the 2020 Outpatient Prospective Payment (OPPS) proposed rule....

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HBMA Submits Comments to CMS on the Medicare Physician Fee Schedule Proposed Rule

Government Resources
On September 27, 2019, HBMA submitted comments to CMS on the 2020 Medicare Physician Fee Schedule (MPFS) proposed rule....

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October 2019 Humana News: Billing Guidelines for Home Health Services

Commercial Payer News
Want to know more about Humana’s billing guidelines for home health services? Humana has two approaches for reimbursing...

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September 2019 UnitedHealthcare News: Don’t Forget to Register for the UnitedHealthcare Week for HBMA Virtual Conference, Oct. 14–18

Commercial Payer News
Learn About Available Technologies to Streamline Processes We’ve scheduled multiple sessions to accommodate your...

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HBMA Announces Election of New Board Members

Press Releases
FOR IMMEDIATE RELEASE CONTACT: Kurt Gallagher (202) 367-1279 HBMA Announces Election of New Board Members (WASHINGTON)...

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Washington Report - August 2019 Issue

Government Resources
Washington Report – August 2019 (Covers activity between 8/1/19 and 8/30/19) Bill Finerfrock, Matt Reiter, Jordyn...

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Call for Nominations for HBMA Ethics Committee

Member News
HBMA is seeking nominations to serve on a new HBMA Ethics Committee. The purpose of the Committee will be to assess...

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September 2019 Humana News: Learn More about Humana’s Approach to Code Editing

Learn More about Humana’s Approach to Code Editing Code editing claims is a complex process that involves evaluating...

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September 2019 Humana News: Learn More about Humana’s Approach to Code Editing

Commercial Payer News
Learn More about Humana’s Approach to Code Editing Code editing claims is a complex process that involves evaluating...

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HBMA Snap Poll on Conference Dates & Locations

Member News
Check out our infographic to see HBMA member preferences for conference dates and locations.

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HBMA Submits Recommendations to CMS on Reducing Administrative Burdens on Medical Practices

Government Resources
On August 12, 2019, HBMA submitted recommendations to CMS on ways to reduce administrative burdens on medical...

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Washington Report - July 2019 Issue

Government Resources
Washington Report – July 2019 (Covers activity between 7/1/19 and 7/31/19) Bill Finerfrock, Matt Reiter and Carolyn...

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August 2019 Cigna News: Digital Solutions August and September Webinar Schedule

Commercial Payer News
Cigna Digital Solutions August and September 2019 Webinar Schedule You’re invited to join interactive, web-based...

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August 2019 Humana News: Advanced Claims Editing (ACE) Helps You Identify Potential Coding Issues in Batch Claims Up Front

Commercial Payer News
Advanced claims editing (ACE) helps you identify potential coding issues in batch claims up front. All electronic data...

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August 2019 UnitedHealthcare News: You’re Invited to the Second Annual Virtual Conference Oct. 14-18

Commercial Payer News
Registration Is Open for UnitedHealthcare Week for HBMA The virtual conference requires no travel, has a flexible...

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HBMA Congratulates Dexios Corporation on Compliance Accreditation

Press Releases
FOR IMMEDIATE RELEASE CONTACT: Kurt Gallagher (202) 367-1279 HBMA CONGRATULATES DEXIOS CORPORATION ON COMPLIANCE...

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July 2019 UnitedHealthcare News: RCM Brightree Reduces Phone Calls by Almost 37%

Commercial Payer News
Learn about the New RCM Program Brightree, a revenue cycle management (RCM) company, thought it was already getting the...

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Washington Report - June 2019 Issue

Government Resources
Washington Report – June 2019 (Covers activity between 6/1/19 and 6/30/19) Bill Finerfrock, Matt Reiter, Carolyn...

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HBMA Congratulates Applied Medical Systems on Compliance Accreditation

Press Releases
FOR IMMEDIATE RELEASE CONTACT: Kurt Gallagher (202) 367-1279 kgallagher@hbma.org HBMA CONGRATULATES APPLIED MEDICAL...

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HBMA Congratulates NCDS Medical Billing on Compliance Accreditation

Press Releases
FOR IMMEDIATE RELEASE CONTACT: Kurt Gallagher (202) 367-1279 kgallagher@hbma.org HBMA CONGRATULATES NCDS Medical...

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July 2019 Cigna News: Digital Solutions July and August Webinar Schedule

Commercial Payer News
Cigna Digital Solutions July and August 2019 Webinar Schedule You’re invited to join interactive, web-based...

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July 2019 Humana News: Simplify Overpayments by Managing them Online

Commercial Payer News
Simplify overpayments by managing them online. The overpayments tool on the Availity Provider Portal makes managing...

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June 2019 UnitedHealthcare News: New Self-Service Tools Just for You

Commercial Payer News
New Self-Service Tools Just for You We want to support you the same way we support care providers. To that end we’ve...

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HBMA Congratulates Med Associates, Inc. on Compliance Accreditation

Press Releases
FOR IMMEDIATE RELEASE CONTACT: Kurt Gallagher (202) 367-1279 kgallagher@hbma.org HBMA CONGRATULATES MED ASSOCIATES,...

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"Surprise" Out-of-Network Medical Bills Legislation: Call to Action

Government Resources
Congress is considering several bipartisan legislative proposals intended to protect patients form “surprise”...

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Update on “Surprise” Out-of-Network (OON) Legislation in Congress – HBMA Call to Action

Government Resources
Since the end of 2018 Congress has been working to pass legislation that protects patients from “surprise”...

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HBMA Government Relations Committee Completes Successful Advocacy Visit to Baltimore, M.D. and Washington, D.C.

Government News
On June 11th and 12th, the HBMA Government Relations (GR) Committee held its annual advocacy visit to the...

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Washington Report - May 2019 Issue

Government Resources
Washington Report – May 2019 (Covers activity between 5/1/19 and 5/31/19) Bill Finerfrock, Matt Reiter, Carolyn Bounds,...

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HBMA Response to HELP Committee on Lower Health Care Costs Act of 2019

Government Resources
HBMA's comments to the U.S. Senate Health, Education, Labor and Pensions (HELP) Committee on the Lower Health Care...

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June 2019 Humana News: Medical Claim Disputes and Corrected Claims

Commercial Payer News
Want to find out more about Humana’s processes for medical claim disputes and corrected claims? Humana now offers an...

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HBMA Response to House Energy and Commerce Committee on "Surprise" Billing

Government Resources
HBMA comments to House Energy and Commerce Committee on the "No Surprises Act" discussion draft. [Download HBMA...

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June 2019 Cigna News: Clinical, Reimbursement, and Administrative Policy Updates

Commercial Payer News
Clinical, reimbursement, and administrative policy updates To support access to quality, cost-effective care for your...

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June 2019 Cigna News: Precertification Updates

Commercial Payer News
Precertification updates To help ensure that we are administering benefits properly, we routinely review our...

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June 2019 Cigna News: Digital Solutions June and July Webinar Schedule

Commercial Payer News
Cigna Digital Solutions June and July 2019 Webinar Schedule You’re invited to join interactive, web-based...

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May 2019 UnitedHealthcare News: Remembering the Oldies But Goodies Available on Link

Commercial Payer News
Remembering Oldies but Goodies Some of our classic web tools have been forgotten about. In working with RCM staff...

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Washington Report - April 2019 Issue

Government Resources
Washington Report – April 2019 (Covers activity between 4/1/19 and 4/30/19) Bill Finerfrock, Matt Reiter, Carolyn...

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2019 Aetna Tip Sheets

Commercial Payer News
HBMA and Aetna are working together for you! Aetna has recently updated its tip sheets. Find information on: Claim...

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May 2019 Humana News: Access and Interpret your Explanation of Remittance (EOR)

Commercial Payer News
Understand how to access and interpret your explanation of remittance (EOR). Humana’s “Making It Easier for Physicians...

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May 2019 Cigna News: View Drug Benefit Details Using Real-Time Benefit Check

Commercial Payer News
On October 1, 2018, Cigna began offering real-time benefit check. This new service can give you access to drug benefit...

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May 2019 Aetna News: Aetna Quick Reference Guide

Commercial Payer News
Aetna has created a quick how-to guide for health care professionals. Download this handy guide to access more...

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HBMA Snap Poll on Threats

Member News
Check out our infographic to see how HBMA members described their perceived biggest threats to their businesses. Watch...

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HBMA Press Release: HBMA Adopts Policy Framework for Unexpected Out-Of-Network Medical Bills

Press Releases
FOR IMMEDIATE RELEASE CONTACT: Kurt Gallagher (202) 367-1279 | kgallagher@hbma.org HBMA ADOPTS POLICY FRAMEWORK FOR...

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Washington Report - March 2019 Issue

Government Resources
Washington Report – March 2019 (Covers activity between 3/1/19 and 3/31/19) Bill Finerfrock, Matt Reiter, Carolyn...

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May 2019 Cigna News

Commercial Payer News
Cigna Digital Solutions May and June 2019 Webinar Schedule You’re invited to join interactive, web-based demonstrations...

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HBMA's policy framework is intended to help the HBMA GR Committee assess federal or state legislation on “surprise”...

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April 2019 UnitedHealthcare News: Use EDI and Link

Commercial Payer News
Use EDI and Link to Quickly Get the Information You Need EDI - A fast and automated solution for sending and receiving...

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Q1 2019 Commercial Corner - News from the CPR Committee

Commercial Payer News
Commercial Corner: CPR is Working For You! The Commercial Payer Relations (CPR) Committee is excited to provide HBMA...

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April 2019 Cigna News

Commercial Payer News
View a Patient’s Unique ID Card Online Did you know there’s a new feature on the Cigna for Health Care Professionals...

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April 2019 Humana News: Key Tools and Resources

Commercial Payer News
Looking for Humana’s key tools and resources? Having the right tools and resources is incredibly helpful when you’re...

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Washington Report - February 2019 Issue

Government Resources
Washington Report – February 2019 (Covers activity between 2/1/19 and 2/28/19) Bill Finerfrock, Matt Reiter, Carolyn...

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The Annual Call for MIPS Quality Measures is Now Open

Government News
The following information was shared by the CMS Office of Communications on Friday, March 1, 2019. This is provided to...

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March 2019 Humana News

Commercial Payer News
Overpayment questions? Call 1-800-438-7885 Humana Provider Payment Integrity (PPI) reviews Humana’s claims payments for...

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Maximizing Revenue and Relationships in the Age of Patient Consumerism

HBMA News
Maximizing Revenue and Relationships in the Age of Patient Consumerism Modern solutions to boost revenue collection. By...

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Picture This: Mobile Payments Remove Billing Inefficiencies

HBMA News
Picture This: Mobile Payments Remove Billing Inefficiencies The inefficiencies and costs associated with paper billing...

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Taming the Medical Billing Beast

HBMA News
Taming the Medical Billing Beast Obtaining, verifying, and discovering billable insurance coverage for patients. By...

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March 2019 Cigna News

Commercial Payer News
Cigna Digital Solutions Q2 2019 Webinar Schedule You’re invited to join interactive, web-based demonstrations of the...

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HBMA Congratulates Emedex On Compliance Accreditation

Press Releases
FOR IMMEDIATE RELEASE CONTACT: Kurt Gallagher (202) 367-1279 kgallagher@hbma.org HBMA CONGRATULATES EMEDEX ON...

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HBMA Advises Senior White House Staff on Surprise Billing Policies

Press Releases
FOR IMMEDIATE RELEASE Contact: Bill Finerfrock (202)-544-1880 Kurt Gallagher (202) 367-1279 HBMA ADVISES SENIOR WHITE...

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HBMA Snap Survey: Collections

Member News
Check out our infographic to see how HBMA members described their collections processes.

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HBMA response to Sen. Cassidy on unexpected out-of-network (OON) medical bills

Government News
February 18, 2019 Hon. Senator Bill Cassidy, M.D. 520 Hart Senate Office Building Washington, DC 20510 Dear Senator...

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Government Resources
HBMA letter to Senator Bill Cassidy regarding opportunity to provide feedback on behalf of HBMA members regarding the...

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Washington Report - January 2019 Issue

Government Resources
Washington Report – January 2019 (Covers activity between 1/1/19 and 1/31/19) Bill Finerfrock, Matt Reiter, Carolyn...

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HBMA Congratulates SyMed on Compliance Accreditation

Press Releases
SyMed Corporation recognized for program to protect patient privacy, prevent medical billing fraud, and comply with...

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HBMA to Meet with White House Staff to Discuss Surprise Medical Billing

Government News
Earlier this year, the HBMA Government Relations Committee identified so-called ”surprise medical bills” as an issue...

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February 2019 Cigna News

Commercial Payer News
Cigna Digital Solutions Webinar Schedule You’re invited to join interactive, web-based demonstrations of the Cigna for...

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February 2019 Aetna News

Commercial Payer News
Attend the Aetna Webinar: Working with Aetna on NaviNet Presented by: Robin Spucches, Sr. Project Manager of Provider...

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February 2019 UnitedHealthcare News

Commercial Payer News
A Resolution You Can Keep: Increased Productivity It’s been said that most people give up on their New Year’s...

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January 2019 Humana News

Commercial Payer News
Training Available for Web Portal Tools Join Humana for a training session on how to use the Availity Provider Portal,...

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HBMA Congratulates Advanced Pacific Medical Billing on Compliance Accreditation

Press Releases
Advanced Pacific Medical Billing recognized for a program to protect patient privacy, prevent medical billing fraud,...

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HBMA Congratulates Emax Medical Billing on Compliance Accreditation

Press Releases
Emax recognized for program to protect patient privacy, prevent medical billing fraud, and comply with federal...

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HBMA Snap Survey: Management Services and Training

Member News
Check out our infographic to see how HBMA members described the management service training they provide to clients and...

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Washington Report - December Issue

Government Resources
Washington Report – December, 2018 (Covers activity between 12/1/18 and 12/31/18) Bill Finerfrock, Matt Reiter, and...

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New HBMA 2019 Officers Take Helm

Press Releases
Mick Polo Is Now President; Cindy Pittmon, Vice President; Michelle Durner, Treasurer; Cal LaGroue, Secretary...

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January 2019 Aetna News

Commercial Payer News
Now you can electronically submit supporting documentation for pending claims with Aetna! View the details here .

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HBMA Publishes Report on Medical Billing Services and Fees

Press Releases
Benchmark survey evaluates industry practices on 44 categories of medical services nationwide (WASHINGTON) – Today the...

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Washington Report - November Issue

Government Resources
Washington Report – November, 2018 (Covers activity between 11/1/18 and 11/31/18) Bill Finerfrock, Matt Reiter, and...

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December 2018 Cigna News

Commercial Payer News
View this Video Tutorial for submitting attachments for pended claims on CignaforHCP.com A new feature allows you to...

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December 2018 Humana News

Commercial Payer News
Online Education Makes It Easier to Do Business with Humana For quick, easy-to-understand information to help simplify...

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December 2018 Optum News

Commercial Payer News
No cost claim submission to all payers Optum supports and believes in administrative simplification. The first step in...

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December 2018 Aetna News

Commercial Payer News
NEW! Submit supporting document easily Know where to go for eligibility, benefits, and claims information Aetna at a...

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Midterm Election Analysis

Government News
Last week, millions of Americans went to the polls to cast their votes for a number of important federal, state, and...

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Medicare Physician Fee Schedule Final Rule

Government Resources
To: HBMA From: HBMA Government Relations Committee Re: Medicare physician fee schedule Final Rule On November 1, 2018,...

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Washington Report - October Issue

Government Resources
Washington Report – October, 2018 (Covers activity between 10/1/18 and 10/31/18) Bill Finerfrock, Matt Reiter, and...

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November 2018 Aetna News

Commercial Payer News
NEW! Submit supporting document easily Know where to go for eligibility, benefits, and claims information Aetna at a...

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November 2018 Cigna News

Commercial Payer News
View this Video Tutorial for submitting attachments for pended claims on CignaforHCP.com A new feature allows you to...

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November 2018 Humana News

Commercial Payer News
Humana’s “Making It Easier” Series Offers Information on Claims Topics Making It Easier for Health Care Providers is...

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November 2018 Optum News

Commercial Payer News
No cost claim submission to all payers Optum supports and believes in administrative simplification. The first step in...

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November 2018 UnitedHealthcare News

Commercial Payer News
Last chance to register for the UnitedHealthcare Week for HBMA Virtual Conference, November 5 - 9, 2018! Discover best...

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2018 HBMA Awards Ceremony Recap

Member News
The 2018 HBMA Awards Ceremony was held on Tuesday, October 16 in recognition of the time and effort given by members of...

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HBMA 2018 Board Election Results

Member News
HBMA Welcomes New and Returning Board Members! The HBMA Board of Directors Election closed on Monday, October 15. HBMA...

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HBMA Announces Healthcare Compliance Accreditation Program Goes Live

Press Releases
Program designed to verify protections for patient privacy and to prevent medical billing fraud Charlotte, NC - From...

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HBMA Submits Recommendations to CMS for Targeted Probe and Educate Program

Government News
THE HBMA Government Relations Committee recently submitted recommendations to the Centers for Medicare and Medicaid for...

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HBMA Submits Letter of Support for Local Coverage Determination Clarification Act of 2017

Government News
THE HBMA Government Relations Committee recently submitted a letter to Congress in support of H. R. 3635, the Local...

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Washington Report - September Issue

Government Resources
Washington Report – September, 2018 (Covers activity between 9/1/18 and 9/30/18) Bill Finerfrock, Matt Reiter, and...

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October 2018 Aetna News

Commercial Payer News
NEW! Submit supporting document easily Know where to go for eligibility, benefits, and claims information Aetna at a...

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October 2018 Cigna News

Commercial Payer News
View this Video Tutorial for submitting attachments for pended claims on CignaforHCP.com A new feature allows you to...

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October 2018 Humana News

Commercial Payer News
Overpayment questions? Call 1-800-438-7885 Humana Provider Payment Integrity (PPI) reviews Humana’s claims payments for...

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October 2018 Optum News

Commercial Payer News
No cost claim submission to all payers Optum supports and believes in administrative simplification. The first step in...

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October 2018 UnitedHealthcare News

Commercial Payer News
UnitedHealthcare Week for HBMA Virtual Conference New Dates! November 5-9* UnitedHealthcare is offering an exciting...

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HBMA Comments to CMS on 2019 MPFS Propose Rule

Government News
THE HBMA Government Relations Committee recently submitted comments to the Centers for Medicare and Medicaid in...

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HBMA Expresses Support for Local Coverage Determination Clarification Act of 2017

Government News
The HBMA GR Committee recently wrote a letter to the Representatives Lynn Jenkins and Ron Kind in support of their...

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Washington Report - August Issue

Government Resources
Washington Report – August, 2018 (Covers activity between 8/1/18 and 8/31/18) Bill Finerfrock, Matt Reiter, and Carolyn...

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September 2018 Aetna News

Commercial Payer News
NEW! Submit supporting document easily Know where to go for eligibility, benefits, and claims information Aetna at a...

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September 2018 Cigna News

Commercial Payer News
View this Video Tutorial for submitting attachments for pended claims on CignaforHCP.com A new feature allows you to...

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September 2018 Humana News

Commercial Payer News
Sign up now for an introduction to Humana’s time-saving online tools Join Humana for a training session about top...

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September 2018 Optum News

Commercial Payer News
No cost claim submission to all payers Optum supports and believes in administrative simplification. The first step in...

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September 2018 UnitedHealthcare News

Commercial Payer News
UnitedHealthcare Week for HBMA Virtual Conference New Dates! November 5-9* UnitedHealthcare is offering an exciting...

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View this Video Tutorial for submitting attachments for pended claims on CignaforHCP.com

Commercial Payer News
A new feature allows you to upload supporting documentation for pended claims instead of mailing or faxing it to us, so...

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Late-August 2018 Board Update

Member News
HBMA Board Update YOUR BOARD OF DIRECTORS WANTS YOU TO BE INFORMED The August Board of Directors meeting was held on...

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HBMA 2018 Payer Portal Survey

Commercial Payer News
The Commercial Payer Relations (CPR) Committee's mission is to be an advocate for our membership and industry by...

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UnitedHealthcare Week for HBMA - Virtual Conference

Commercial Payer News
Discover best practices from organizations just like yours to streamline processes, take advantage of available...

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Video Tutorial for Submitting Attachments for Pending Claims on CignaforHCP.com

Commercial Payer News
View this Video Tutorial for submitting attachments for pended claims on CignaforHCP.com A new feature allows you to...

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September 2018 Webinars for Health Care Professionals

Commercial Payer News
Attend a Free Webinar Join Us from the Comfort of Your Desk ... at Your Convenience. You’re invited to join...

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UnitedHealthcare Week for HBMA - Virtual Conference

Member News
Discover best practices from organizations just like yours to streamline processes, take advantage of available...

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2018 CMS/Hill Day Publication Now Available

Government Resources
On June 13 and 14, 2018, the HBMA Government Relations Committee held its annual CMS visit and Hill Day meetings. This...

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Feedback on CMS Proposed Changes to Medicare Physician Fee Schedule

Government Resources
To: HBMA Membership From: HBMA GR Committee Re: Feedback on CMS proposed changes to Medicare Physician Fee Schedule...

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Washington Report - July Issues

Government Resources
Washington Report – July, 2018 (Covers activity between 7/1/18 and 7/31/18) Bill Finerfrock, Matt Reiter, and Carolyn...

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HBMA 2018 Board of Directors Election Now Open

Member News
Cast Your Vote! The HBMA Nominations Committee has selected a slate of four (4) candidates to run for the Board of...

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August 2018 Board Update

Member News
HBMA Board Update YOUR BOARD OF DIRECTORS WANTS YOU TO BE INFORMED The July Board of Directors meeting was held on July...

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Doing Business with Humana - A Resource Sheet

Commercial Payer News
Doing Business with Humana - A Resource Sheet Use this handy resource sheet to quickly find information about: Online...

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Humana's YourPractice News

Commercial Payer News
Humana's YourPractice is a bimonthly publication for office staff, physicians and other healthcare providers who supply...

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Humana's Provider Self-Service Online

Commercial Payer News
Humana is retiring its secure online provider portal on Oct. 3, 2018. To access the most up-to-date tools for working...

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Humana's Provider Webinars

Commercial Payer News
Attend live training webinars on Humana's online tools from your office. Join a Humana representative via phone and...

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Humana's Publications

Commercial Payer News
Review these publications to learn about tools and services for physicians, facilities and other health care providers.

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Humana's Preauthorization and Notification Lists

Commercial Payer News
These online documents list services and medications for which preauthorization may be required for patients with...

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August 2018 Aetna News

Commercial Payer News
NEW! Submit supporting document easily Know where to go for eligibility, benefits, and claims information Aetna at a...

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August 2018 Cigna News

Commercial Payer News
View this Video Tutorial for submitting attachments for pended claims on CignaforHCP.com A new feature allows you to...

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August 2018 Humana News

Commercial Payer News
Action Required to Maintain Access to Humana’s Secure Online Tools Humana is retiring its secure online medical...

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August 2018 Optum News

Commercial Payer News
No cost claim submission to all payers Optum supports and believes in administrative simplification. The first step in...

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August 2018 UnitedHealthcare News

Commercial Payer News
Registration is OPEN for the UnitedHealthcare Week for HBMA Virtual Conference , October 15-19, 2018! Discover best...

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July 2018 Aetna News

Commercial Payer News
NEW! Submit supporting document easily Know where to go for eligibility, benefits and claims information Aetna at a...

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July 2018 Cigna News

Commercial Payer News
Read the latest news from Cigna here .

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July 2018 Humana News

Commercial Payer News
Training Available for Web Portal Tools Join Humana for a training session on how to use the Availity provider portal,...

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July 2018 Optum News

Commercial Payer News
No cost claim submission to all payers Optum supports and believes in administrative simplification. The first step in...

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July 2018 UnitedHealthcare News

Commercial Payer News
Link Online Self-Service Transactions Can Take Less Than a Minute. Compare That to Your Last Phone Call. We worked with...

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July 2018 Board Update

Member News
HBMA Board Update YOUR BOARD OF DIRECTORS WANTS YOU TO BE INFORMED The June Board of Directors meeting was held on June...

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CMS Releases 2019 Medicare Physician Fee Schedule and QPP Proposed Rule

Government Resources
To: HBMA From: HBMA Government Relations Committee Re: CMS Releases 2019 Medicare Physician Fee Schedule and QPP...

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Washington Report - June Issue

Government Resources
Washington Report – June, 2018 (Covers activity between 6/1/18 and 6/30/18) Bill Finerfrock, Matt Reiter, Sarah Wilson,...

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Building Better Billers

HBMA News
KPI To Improve Your Competitive Edge. By Ray Jorgensen, CPC In 1998, our billing firm was still in its infancy. As a...

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Administrative Simplification Enforcement

HBMA News
Health plans and other industry participants must adhere to HIPAA standards, and those who fail must face reprimand....

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Communication Risks

HBMA News
Emails, voicemails, messages, and social media—how many ways can a healthcare manager get into trouble? By Robert Liles...

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June 2018 Aetna News

Commercial Payer News
NEW! Know where to go for eligibility, benefits and claims information Aetna at a Glance: A quick reference guide for...

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June 2018 Cigna News

Commercial Payer News
Read the latest news from Cigna here .

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June 2018 Humana News

Commercial Payer News
Action Required to Maintain Access to Humana’s Secure Online Tools Humana is retiring its secure online medical...

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June 2018 Optum News

Commercial Payer News
No cost claim submission to all payers Optum supports and believes in administrative simplification. The first step in...

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June 2018 UnitedHealthcare News

Commercial Payer News
Link Online Self-Service Transactions Can Take Less Than a Minute. Compare That to Your Last Phone Call. We worked with...

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HBMA Joins Other Practice Management Associations on Letter to CMS on Hospital Price Transparency Proposal

Government News
HBMA has partnered with 11 practice management and medical specialty organizations to submit a comment letter to the...

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June 2018 Board Update

Member News
HBMA Board Update YOUR BOARD OF DIRECTORS WANTS YOU TO BE INFORMED The May Board of Directors meeting was held on May...

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Washington Report - May Issue

Government Resources
Washington Report – May, 2018 (Covers activity between 5/1/18 and 5/31/18) Bill Finerfrock, Matt Reiter, Sarah Wilson,...

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HBMA 2018 Membership Recruitment Kit

Member News
Thank you for your membership with HBMA! As a member of the Association, you know your connection to peers in the...

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May 2018 Aetna News

Commercial Payer News
NEW! Know where to go for eligibility, benefits and claims information Aetna at a Glance: A quick reference guide for...

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May 2018 Cigna News

Commercial Payer News
Read the latest news from Cigna here .

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May 2018 Humana News

Commercial Payer News
Training Available for Web Portal Tools Join Humana for a training session on how to use the Availity provider portal,...

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May 2018 Optum News

Commercial Payer News
No cost claim submission to all payers Optum supports and believes in administrative simplification. The first step in...

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May 2018 UnitedHealthcare News

Commercial Payer News
Save time and money with Link. That's the power of self-service. For more information, visit our website . Are you...

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May 2018 CPR Commercial Corner

Commercial Payer News
This month, the CPR Committee held our second All-Payer Call with our contacts at Aetna, Cigna, Humana, and...

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May 2018 Board Update

Member News
HBMA Board Update YOUR BOARD OF DIRECTORS WANTS YOU TO BE INFORMED On April 23, members of the Board met for a retreat...

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Washington Report - April Issue

Government Resources
Washington Report – April, 2018 (Covers activity between 4/1/18 and 4/30/18) Bill Finerfrock, Matt Reiter, Nathan...

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Chasing Self-Pay Revenue in Emergency Medicine

HBMA News
During the American College of Emergency Physicians (ACEP) January 2018 Reimbursement and Coding Conference held in...

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Prior Authorization Headache: Prognosis and Treatment

HBMA News
Prior authorization is a challenge that needs to be addressed through a multifaceted approach—including research,...

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Blockchain, Data Economics, and Healthcare

HBMA News
Blockchain, Data Economics, and Healthcare How does blockchain change the current economics of data systems? By Tony...

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April 2018 Aetna News

Commercial Payer News
Aetna at a Glance: A quick reference guide for health care professionals Tips and tools to hit the ground running in...

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April 2018 Cigna News

Commercial Payer News
Read the latest news from Cigna here .

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April 2018 Humana News

Commercial Payer News
Action Required to Maintain Access to Humana’s Secure Online Tools Humana is retiring its secure online medical...

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April 2018 Optum News

Commercial Payer News
No cost claim submission to all payers Optum supports and believes in administrative simplification. The first step in...

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April 2018 UnitedHealthcare News

Commercial Payer News
Link: Online self service for care providers Get your staff ‘Link-wise’ in three easy, free online WebEx sessions....

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April 2018 CPR Commercial Corner

Commercial Payer News
The CPR Committee has enjoyed a successful start to the year with monthly committee calls with our contacts at Aetna,...

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HBMA April 2018 Board Update

Member News
HBMA Board Update YOUR BOARD OF DIRECTORS WANTS YOU TO BE INFORMED The March Board of Directors meeting was held on...

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HBMA and Healthcare Compliance Pros Launch Healthcare Business Management Compliance Accreditation for Revenue Cycle Management Companies

Press Releases
For Immediate Release April 19, 2018 Contact: Andre Williams, Executive Director Healthcare Business Management...

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Washington Report - March Issue

Government Resources
Washington Report – March, 2018 (Covers activity between 3/1/18 and 3/31/18) Bill Finerfrock, Matt Reiter, Nathan...

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March 2018 Aetna News

Commercial Payer News
Aetna's monthly live provider webinars let you watch and ask questions in real time. Learn how to use the self-service...

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March 2018 Cigna News

Commercial Payer News
Read the latest news from Cigna here .

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March 2018 Humana News

Commercial Payer News
Action Required to Maintain Access to Humana’s Secure Online Tools Humana is retiring its secure online provider portal...

Read More

March 2018 Optum News

Commercial Payer News
No cost claim submission to all payers Optum supports and believes in administrative simplification. The first step in...

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March 2018 UnitedHealthcare News

Commercial Payer News
Link in 2018 Better, Smarter, Faster. HBMA member feedback is enhancing the Link user experience in 2018 with...

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March 2018 CPR Commercial Corner

Commercial Payer News
The CPR Committee has enjoyed a successful start to the year with monthly committee calls with our contacts at Aetna,...

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Working with Aetna on NaviNet

Commercial Payer News
Aetna-At-A-Glance We’ve attached our Aetna-At-A-Glance and NaviNet Resources documents for your use. These documents...

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HBMA March 2018 Board Update

Member News
HBMA Board Update YOUR BOARD OF DIRECTORS WANTS YOU TO BE INFORMED The February Board of Directors meeting was held on...

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Washington Report - February Issue

Government Resources
Washington Report – February, 2018 (Covers activity between 2/1/18 and 2/28/18) Bill Finerfrock, Matt Reiter, Nathan...

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Telemedicine Reimbursement and Regulations

HBMA News
Providers entering this emerging field should be vigilant of new policies, regulations, and other changes. By Max...

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Compliance Issues for Ambulance Biller

HBMA News
It is imperative that billers fully understand the nuances of ambulance reimbursement to be able to successfully...

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Preparing for the New Medicare Card Program

HBMA News
It is important that practices and their technology systems be prepared to accept Medicare Beneficiary Identifiers in...

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February 2018 Aetna News

Commercial Payer News
Aetna's monthly live provider webinars let you watch and ask questions in real time. Learn how to use the self-service...

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February 2018 Cigna News

Commercial Payer News
Read the latest news from Cigna here .

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February 2018 Humana News

Commercial Payer News
Training Available for Web Portal Tools Join Humana for a training session on how to use the Availity provider portal,...

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February 2018 Optum News

Commercial Payer News
No cost claim submission to all payers Optum supports and believes in administrative simplification. The first step in...

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February 2018 UnitedHealthcare News

Commercial Payer News
Your 2018 Productivity Enhancer: Link—The Shortest Distance to Answers In 2018, start your day with Link’s time saving...

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MIPS Claims Based Quality Measures Projections and Results (Video)

Government News
This demo, available here , shows users a new qpp.cms.gov feature. This feature will allow a user from a group who...

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HBMA February 2018 Board Update

Member News
HBMA Board Update YOUR BOARD OF DIRECTORS WANTS YOU TO BE INFORMED The first 2018 Board of Directors meeting was held...

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Summary of the Major Medicare/Health Provisions in the Government Funding Deal

Government News
To: HBMA Membership From: HBMA GR Committee Re: Summary of the Major Medicare/Health Provisions in the Government...

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Washington Report - January Issue

Government Resources
Washington Report – January, 2018 (Covers activity between 1/1/18 and 1/31/18) Bill Finerfrock, Matt Reiter, Nathan...

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Alternative Payment Models in the Quality Payment Program as of January 2018

Government News
The Centers for Medicare and Medicaid (CMS) have released a table that displays the Alternative Payment Models (APMs)...

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January 2018 Aetna News

Commercial Payer News
Starting this year, electronic precertification is Aetna’s new business standard . Aetna's monthly live provider...

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January 2018 Cigna News

Commercial Payer News
Read the latest news from Cigna here

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January 2018 Humana News

Commercial Payer News
Humana’s “Making It Easier” Series Offers Information on Claims Topics Making It Easier for Health Care Providers is...

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January 2018 UnitedHealthcare News

Commercial Payer News
Your 2018 Productivity Enhancer: Link—The Shortest Distance to Answers In 2018, start your day with Link’s time saving...

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January 2018 Optum News

Commercial Payer News
No cost claim submission to all payers Optum supports and believes in administrative simplification. The first step in...

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January 2018 CPR Commercial Corner

Commercial Payer News
Happy New Year from the CPR Committee! We are off to a great start with our latest white paper, An Evolutionary Path to...

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New Medicare Cards Updates

Government News
New Medicare Card: Web Updates for Providers To help you prepare for the transition to the Medicare Beneficiary...

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The Extreme and Uncontrollable Circumstances Policy for the Merit-based Incentive Payment System (MIPS) in 2017

Government News
Recently, many of you as eligible clinicians were affected by California wildfires and Hurricanes Harvey, Irma, Maria,...

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An Evolutionary Path to Digital Healthcare Payments

Commercial Payer News
The Healthcare industry is awash in paper. From billions of paper checks, explanations of benefits or payments (EOBs...

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CPR Committee White Paper: An Evolutionary Path to Digital Healthcare Payments

Commercial Payer News
The Healthcare industry is awash in paper. From billions of paper checks, explanations of benefits or payments (EOBs...

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CMS Soliciting Stakeholder Recommendations for Potential Additions and/or Revisions to Specialty Measure Sets for the 2019 MIPS Program

Government News
The Centers for Medicare & Medicaid Services (CMS) is accepting recommendations from stakeholders for potential...

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Washington Report - December Issue

Government Resources
Washington Report – December, 2017 (Covers activity between 12/1/17 and 12/31/17) Bill Finerfrock, Matt Reiter, Nathan...

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The Long Journey Towards Attachment Standardization

HBMA News
Contributed by the American Medical Association HBMA’s celebration of 25 years provides an opportunity to review the...

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5 Steps to Improve Patient Payments

HBMA News
By Chris Seib, Chief Technology Officer and Co-Founder, InstaMed When the ball drops on New Year’s Eve, it is seen by...

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Add Value for Your Clients

HBMA News
Though providing more services to your clients may sound like a lot of tough, long work (and it is), adding certain...

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