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Navigating Prior Authorizations: 5 Tips to Make Them Easier

NCG Medical Blog

As you and the staff of your medical practice know very well, there are countless steps, factors, and processes required to keep your operations running smoothly and efficiently in order to deliver great care to your patients.

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CMS prior authorization rule finally crosses the finish line

Redox

Two and a half years ago I wrote my first blog at Redox. My debut focused on how the CMS proposed Interoperability and Prior Authorization rule would dramatically improve prior authorization processes with electronic processing via APIs. ICYMI: It didn’t. That rule was never finalized. But: There is still hope.

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Indiana Enacts 90-Day Advance Notice Requirement for Health Care Transactions

Hall Render

SEA 9 places increased scrutiny on health care mergers and acquisitions throughout the state by requiring certain health care entities involved in a merger or acquisition to provide advanced written notice to the Indiana Attorney General’s office prior to consummating a transaction. For instance, as recently as December 2023, the U.S.

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Understanding the 2025 Medicare Part D Re-design: What You Need to Know

Innovaare Compliance

This blog delves into the details of these changes and their implications for plan sponsors and beneficiaries. Their Part D premium increase will be limited to 6% from the prior year. Contact Inovaare for expert guidance on navigating these transformations. The transformational changes in 2025 are highlighted below.

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Massachusetts DPH Delays Enforcement Penalties for State Surprise Billing Law

Healthcare Law Today

The federal government promulgated the No Surprises Act, which we discussed in prior blog posts here and here. We have the resources to help you navigate these and other important legal considerations related to business operations and industry-specific issues.

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New Safe Harbor and General Compliance Program Guidance Provides Opportunity for Buyers to Mitigate Litigation and Fraud Risk

Health Law RX

This blog post will provide guidance regarding: (1) how to satisfy the elements of the M&A Safe Harbor, (2) the benefits of using the GCPG as a baseline standard for all compliance programs, and (3) the use of the GCPG as a baseline for meeting the requirements of the M&A Safe Harbor. Gandle, for her contribution to this blog post.

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The Corporate Transparency Act: A Reporting Guide for Medical Groups and MSOs

Healthcare Law Blog

This post specifically speaks to medical groups and management services organizations (“MSOs”) that now need to navigate the new CTA requirements and account for their complex contractual relationships (e.g., Recall that reporting companies formed prior to January 1, 2024, do not need to include company applicant information.