There are numerous coding options when it comes to reporting telehealth visits and others that are not the traditional face-to-face office visit. There are numerous options when it comes to reporting visits that are not the traditional face-to-face office visit. This varies somewhat by payer, of course. Medicare has temporarily relaxed some of the geographic […]
The American Medical Association (AMA) has released an update to the Current Procedural Terminology (CPT), introducing a new code for reporting antigen testing of patients suspected to be infected with COVID-19. Approved on June 25 during a meeting of the CPT Editorial Panel, this update signifies a milestone in expediting the review of proposed changes […]
Telemedicine reimbursement and other regulatory flexibilities enabled providers to quickly pivot operations for COVID-19, but temporary policies also poised the health policy landscape for significant change after the pandemic. In the wake of the first confirmed cases of COVID-19 in the US, policymakers quickly relaxed long-standing healthcare regulations, including telemedicine reimbursement and healthcare fraud prevention […]
The AMA’s new Category I CPT code will allow for COVID-19 coding and billing of antigen tests performed on patients suspected of being infected by the novel coronavirus. The American Medical Association (AMA) recently updated Current Procedural Terminology (CPT) to enable proper COVID-19 coding and billing of antigen tests performed on patients suspected of being infected with […]
At the onset of the pandemic, increasing use of three codes — 31500 for emergency intubations, 99291 for intensive care unit treatment and 99233 for complex hospital visits — reflected rising numbers of COVID-19 patients, according to Tony Mira, president and CEO of Anesthesia Business Consultants. ABC coding teams have captured a wide range of […]
Value-based payments support telehealth, data analytics, and other capabilities providers need to effectively respond to crises like COVID-19, says SWHR’s Sanjay Doddamani, MD. More practices are going to want to get their revenue through value-based payments following the COVID-19 pandemic, according to heart failure cardiologist Sanjay Doddamani, MD. The pandemic has shown the best of […]
The COVID-19 outbreak appears to have impacted claims patterns for Medicare Advantage enrollees, according to a new analysis by Avalere Health. Even though seniors are historically the most vulnerable population health-wise, their claims were down dramatically during the month of April. The survey suggests it could impact risk score factors for MA plans in 2021, driving […]
With concerns of COVID-19 having a disproportionate impact on certain individuals, such as minorities and the elderly, public health experts are requiring more detailed data, provided on a real-time basis – further supporting the reliability and integrity of data being central to healthcare. Though rates of new COVID-19 cases in the U.S. have somewhat stabilized, […]
As Eisenhower Health reopens following the peak of COVID-19, leaders are leaning on technology and strategies that improve efficiency to ensure health system financial stability during the recession. When COVID-19 really hit the Coachella Valley area of California in mid-March, volumes dropped by as much as 60 percent at Eisenhower Health. For a health system […]
In the wake of the COVID-19 outbreak many health care practices were forced to implement telehealth as quickly as possible, and often didn’t have enough run way to deeply consider an ideal long-term workflow. If your practices’ initial reaction was to put something in place that was good enough for now but could be […]