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Provider News
The Wage and Hour Division of the U.S. Department of Labor (DOL) has issued updated fact sheets for understanding and administering leave under the Family and Medical Leave Act (FMLA).
Under the Consolidated Appropriations Act, 2021, self-funded group health plans are required to submit certain information related to prescription drug and other health care spending to the Department of Labor, the Department of Health and Human Services, and the Department of Treasury (Departments).
Beginning in 2024, most employers will need to file their Affordable Care Act (ACA) forms electronically.
The IRS has released final Affordable Care Act (ACA) information reporting forms and instructions for the 2023 calendar year.
The Consolidated Appropriations Act, 2021 (CAA) prohibits gag clauses in contracts between a group health plan and certain service providers.

Providers Must use ICD-10 Diagnosis Codes Beginning Oct. 1, 2015
All providers covered by HIPAA must begin using ICD-10 diagnosis codes with dates of service October 1, 2015 and beyond. Pursuant to HIPAA, the Centers for Medicare & Medicaid Services (CMS) has mandated the transition to ICD-10 diagnosis codes. Consequently, ICD-10 codes are required to replace the ICD-9 codes.