Category: Medical Billing

Medicare Billing Updates

CMS Updates Medicare Billing Rules for 20% Add-On COVID-19 Payment

  In addition to Medicare billing updates, the federal agency also announced that it will resume routine inspections for all Medicare and Medicaid-certified providers. Claims eligible for the 20 percent add-on payment for COVID-19 hospitalizations will now have to have a positive laboratory test documented in the patient’s medical record, according to recent Medicare billing […]
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Billing and Documentation Guide

Billing and Documentation Guide for Patient Care During COVID-19 Pandemic

  The COVID-19 pandemic has brought about robust changes to the traditional practice of healthcare in the United States. In a time of social distancing and widespread quarantining, regulatory bodies, including the Centers for Medicare & Medicaid Services (CMS), have adapted to the current environment. The most critical goal was to allow healthcare providers to […]
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MACRA Payment Model

Providers Support Value in Health Care Act that Amends MACRA Payment Model

Among other provisions, the bill extends the 5% advanced APM bonus for an additional six years and modifies thresholds to achieve the bonus. Thirteen national provider groups support the newly-introduced House bill, the Value in Health Care Act of 2020, a bipartisan effort that proposes to make changes to the Medicare Access and CHIP Reauthorization Act (MACRA) […]
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2020 HIPAA Changes

How a Pandemic Impacts HIPAA Requirements

As healthcare business professionals, we have been trained in the importance of following HIPAA privacy and security requirements. As coders, auditors, and health information services professionals we are bound by the HITECH Act of 2009, which outlines the responsibilities of “business associates” with respect to HIPAA requirements. As business associates, we are required to “appropriately […]
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Contactless Payments

Post COVID-19: Medical Billing Finally Realizes the Value of Text-to-Pay

Contactless payments were on the rise even before COVID-19 hit. But now, health systems should see them as essential. Consumers are increasingly wary of touching a credit card terminal that others have used, a perfect conduit for spreading germs. For consumers, text payments serve as a convenient contactless way to pay, but there are other unique benefits […]
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Telehealth-Opportunity-Risks

Emerging Opportunities – And Risks – With Telehealth In The Age Of COVID-19

As is painfully obvious to even the most casual of observers, the COVID-19 public health emergency has been disruptive to all industries. And, the healthcare industry has been at the epicenter of this disruption. Nonetheless, not all disruption is negative. One bright spot for many healthcare practitioners during this public health crisis has been the […]
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Telehealth Billing

Untangling Telehealth Billing

The utilization of telehealth services has increased significantly over the past few years, as those in the healthcare industry have started to realize the benefits it offers. Telemedicine allows organizations to maximize existing service lines; add new specialties without the associated costs and hassle of hiring full-time, in-house clinicians; and increase patient satisfaction. It also provides better […]
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Coronavirus Antibody Testing

Labs Welcome CMS Rate for Coronavirus Antibody Testing

CMS set the reimbursement rate for Medicare Administrative Contractors covering the main type of coronavirus antibody test at approximately $42, per an update Tuesday. That rate exceeds investment firm William Blair’s $25 estimate for the category of tests, boding well for future reimbursement policy for antigen testing, analysts noted. Last month, the agency doubled its reimbursement for high-throughput molecular […]
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COVID-19 COding and Billing

4 Critical Attributes of A COVID-19 Billing And Coding Workbook

  Our goal was to develop a single source of truth that is user-friendly, dynamic, and easily accessible,” said Jeannette Wood, vice president of revenue cycle management for Privia Health. A rapidly changing situation like the COVID-19 pandemic calls for a dynamic solution for tracking billing and coding changes for virtual services from different payers […]
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