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Legal & Regulatory Issues

CMS has extended a hold on processing physician claims through this coming Thursday, anticipating the Senate would cancel a 21.3 percent cut in Medicare reimbursements by that time, according to an e-mail from CMS.

Increasingly, surgery centers and practices related to surgery centers attempt to profit from the providing of anesthesia services. In the last couple of years, the American Society for Anesthesia has attacked various models as improper kickback relationships and has argued…

The Senate is not expected to vote on a proposed Medicare physician fee-fix before Friday, three days after CMS will start applying a required 21.3 percent cut to physician claims, according to the chief lobbyist for the AMA.

HCA is suing BlueCross BlueShield of Tennessee for more than $7.8 million, claiming the insurer unilaterally applied a large discount to HCA claims, according to a report in the Nashville Business Journal.N

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Hospitals not identified in CMS' on-line enrollment system will be required to revalidate enrollment information when billing for Medicare starting on July 4, according to a transmittal from CMS.

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