Certification of Additional Federal Independent Dispute Resolution (IDR) Entities Click to Enlarge The Departments of Health and Human Services, Labor, and the Treasury (the Departments) are announcing the certification of two additional independent dispute resolution (IDR) entities, Capitol Bridge, LLC and Livanta LLC (DBA: Commence). Expanding the number
Dispute Closure Error Technical Assistance Click to Enlarge The Departments of Health and Human Services, Labor, and the Treasury published the Dispute Closure Error Technical Assistance (TA) to the Overview of Rules & Fact sheets page under the Guidance & Technical Resources section of the No
Nomination Period Open for PCMP Breast Cancer Screening Clinician Expert Workgroup Click to Enlarge The Centers for Medicare & Medicaid Services (CMS) and its measure developer are seeking nominations for the Clinician Expert Workgroup that will provide input on the development of the Breast Cancer Screening
Action Required: NYS Mandates Electronic CMS-1500 Billing by August 1 Click to Enlarge Effective August 1, 2025, the NYS Workers’ Compensation Board (Board) will require health care providers to submit the CMS-1500 universal billing form electronically, through a Board-approved electronic submission partner. But don’t wait!
NGS Medicare Part B 2025 Spring Virtual Conference Click to Enlarge The National Government Services (NGS) Medicare Part B 2025 Spring Virtual Conference, scheduled for June 3–5, 2025, offers a comprehensive series of sessions aimed at enhancing Medicare compliance for Part B providers. This three-day virtual
Help Transform the Medicare Beneficiary Health Care Experience with Modern Technologies Click to Enlarge Help create modern digital technologies to empower seniors to manage their health journey. We want YOUR ideas. Please join us for a Q&A session on the recent CMS Request for Information (RFI) on
MSSNY Advocacy Halts New Fidelis Appeals Consent Rule Click to Enlarge It was recently brought to the attention of the Payment and Practice Division that Fidelis was planning to implement a new consent requirement for appeals starting June 1. In response, MSSNY raised the issue
NYRx to Launch Electronic Prior Authorization via CoverMyMeds This Summer Click to Enlarge Beginning this summer, NYRx, the Medicaid Pharmacy Program, will accept electronic prior authorization (ePA) requests via CoverMyMeds® in addition to phone and fax requests. CoverMyMeds is a tool designed to simplify the
NYRx Program Updates Aim to Strengthen Support for Foster Care Youth Click to Enlarge The latest NYRx Education & Outreach Foster Care Agency Newsletter outlines key updates for healthcare providers working with vulnerable populations, including foster care youth. Among the most notable developments are new
NYRx Electronic Prior Authorization via CoverMyMeds Summer 2025 Click to Enlarge Beginning this summer, NYRx, the Medicaid Pharmacy Program, will accept electronic prior authorization (ePA) requests via CoverMyMeds® in addition to phone and fax requests. Additional information is available in the attached link. More information
