Centers for Medicare & Medicaid Services are proposing to eliminate the inpatient-only list over the next three years. Medicare’s often-misunderstood inpatient-only list may soon be departing, as the Centers for…
The Centers for Medicare & Medicaid Services (CMS) in the past week has proposed Medicare payment rules for outpatient services and physicians for 2021 and finalized payment rules for inpatient…
On August 3, the Centers for Medicare and Medicaid released the proposed 2021 Medicare Physician Fee Schedule that sets Medicare payment and quality provisions for physicians in 2021. The 2021…
The confusion over what code to use when hospital-employed physicians perform virtual visits with patients has reared its head again in the latest FAQ from Medicare (released on July 28).…
Telehealth reimbursement rates is one area CMS is assessing in order to make Medicare telehealth expansions permanent after the COVID-19 pandemic, according to the agency’s administrator. In a recent Health…
On July 20, the Office of Inspector General (OIG) released a report that found that hospitals are overbilling or upcoding hospitals to the tune of $1 billion. OIG reviewed 200…
When a physician’s telehealth visit with a Medicare patient on FaceTime cut out after five minutes, they shifted to an audio-only visit, with the physician and patient speaking on the…
Health disparities proven by Medicare claims data during the COVID-19 crisis underscore the need to transition to value-based reimbursement, according to CMS. Yesterday, the federal agency announced COVID-19 outcomes based…
Overview of Proposed Rule Today, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to amend the methodology and other requirements for the U.S. Department of Health…
Declining admissions? No one wants to come to your facility? Welcome to COVID-19. Maybe telemedicine can help. Faced with the unique circumstances under COVID-19, many skilled facilities are wondering how…
The FY21 ICD-10-CM codes will be finalized this month. The Centers for Medicare and Medicaid Services (CMS) released the final FY21 ICD-10-PCS codes on May 28, 2020 which was earlier…
What you need to know about payment parity, coding, advocacy and more from our experts. Payment parity CMS’ announcement of telehealth reimbursement payment parity is a huge win for our…
CMS’s 4/30/2020 rule states that practices could bill 99211 for new or established patients during the public health emergency for COVID-19 specimen collectionCPT had previously recommended thisThe new HCPCS codes…
As the coronavirus (COVID-19) continues to grip headlines from coast to coast, the Centers for Medicare & Medicaid Services and the U.S. government are working to assist state and local…
When the President of the United States declares an emergency or disaster under either the Stafford Act or the National Emergencies Act, in conjunction with the Secretary of the U.S.…
As coverages and regulations continue to broaden, often on a day-to-day basis, guidelines related to the COVID-19 pandemic frequently open up additional factors to consider – for instance, issues with…