Ohio would move Medicaid behavioral-health coverage limits off the rulebook and onto a website master list it could change without formal rulemaking. Same-day IOP and PHP billing for adults would be barred, and group therapeutic behavioral services capped at 10.5 hours a week. Shumaker, Loop & Kendrick notes the drafts are not formally filed yet, so public comment can still shape them.
OIG did not pick Methodist Hospital at random: computer matching and data mining flagged its heavy concentration of claims in known billing-error risk areas. Auditors pulled 100 inpatient and outpatie
CMS has selected H1 to supply the ground-truth data work behind its National Provider Directory, the federal attempt at one trusted, reconciled source of provider information. H1 will source and licen
If no deal lands by September 30, USA Health's two Mobile hospitals go out of network for UnitedHealthcare commercial and Medicare Advantage members on October 1. The grievance is seven years of flat
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