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CMS Issues ACO Significant, Anomalous and Highly Suspect Billing Final Rule
The Centers for Medicare & Medicaid Services (CMS) Sept.
Comments on CMS’ Proposed Rule on Fraudulent Billing Activity within the Medicare Shared Savings Program
AHA's comments on CMS' proposed rule to mitigate the impact of significant, anomalous and highly suspect (SAHS) billing activity within the Medicare Shared Savings Program (MSSP) in calendar year (CY) 2023.
Fact Sheet: Hospital Outpatient Department Billing Requirements
Congress is considering legislation that would change current billing practices for Medicare and the commercial insurance market to require each off-campus hospital outpatient department (HOPD) to be assigned a unique NPI as a condition of payment.
AHA Senate Statement on What Can Congress Do to End the Medical Debt Crisis in America
Statementof theAmerican Hospital Associationfor the
Fact Sheet: Medical Debt
The Issue
Two trends in health insurance coverage are driving an increase in medical debt: inadequate hea
Factsheet: Hospital Billing Explained
The following is an explanation of hospital charges, payment and costs.