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Imagine a system that allows providers to gain reimbursement for time spent grappling with administrative issues such as insurance pre-authorizations that eat up valuable resources. A pipe dream? Perhaps not.

CMS finalized its decision not to have a national policy for Medicare coverage of gender reassignment surgery; instead, individual Medicare administrative contractors (MACs) will decide whether to cover the procedure.

A proposed HHS/CMS rule on governance of state and federal Obamacare exchange health plans offers payers some breaks in a contentious insurance environment.              
Expect some wrinkles to your Medicare Advantage billing process if you operate in one of the seven states that's on track to launch a "value-based" insurance model next year.
A 2017 budget bill that the U.S. Senate Appropriations Committee approved last week proposes to cut all funding for a program that provides education and enrollment assistance to Medicare beneficiaries.


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