Tag: COVID-19 pandemic

CMS Reduces Medicare Reimbursement Rate for Some COVID-19 Tests

CMS Reduces Medicare Reimbursement Rate for Some COVID-19 Tests

The base Medicare reimbursement rate for COVID-19 tests using high throughput technology will decrease to $75 next year unless labs can process results in 2 days or less. CMS will reduce the base Medicare reimbursement rate for COVID-19 tests done by laboratories using high throughput technology, according to a new announcement. The announcement made late last […]
Hospitals Use Supply Chain Analytics to Recover from COVID-19 Losses

Hospitals Use Supply Chain Analytics to Recover from COVID-19 Losses

The COVID-19 pandemic has challenged healthcare networks throughout the U.S. in unprecedented ways. As financial losses are being surveyed, new opportunities have emerged for hospitals and health systems to not only recover from those losses, but also simultaneously establish cost-saving initiatives in the perioperative area by using optimized supply chain analytics. Healthcare organizations are also recognizing the […]
Providers Want Innovation, Disruption for Revenue Cycle Management

Providers Want Innovation, Disruption for Revenue Cycle Management

In fact, health system leaders in a new report said revenue cycle management was the area in healthcare that has the greatest need for innovation and disruption like AI. Technology can’t solve all of healthcare’s problems, but providers agree that it can definitely improve revenue cycle management. In a recent survey conducted by KLAS and the Center […]
Top 3 Concerns with the 2021 Medicare Physician Fee Schedule Rule

Top 3 Concerns with the 2021 Medicare Physician Fee Schedule Rule

Comments on the 2021 Medicare Physician Fee Schedule proposed rule centered on potential payment cuts, telehealth reimbursement, and quality reporting changes. Provider groups are concerned that some proposals in the Medicare Physician Fee Schedule rule for 2021 would exacerbate the financial challenges physicians are already facing during the COVID-19 pandemic, including lack of adequate telehealth […]
Improving Coding Processes to Achieve Value-Based Care Success

Improving Coding Processes to Achieve Value-Based Care Success

Primary care physicians (PCPs) face increasing challenges in the current healthcare environment: not having enough resources to care for patients, declining practice revenues, and overwhelming administrative burdens. On top of all that, there is a necessary, but mounting pressure to shift to value-based care. Having run a cardiothoracic surgery practice for 25 years, I have […]

CMS Adds 11 Codes to Telehealth List

Physicians can now offer more services via telehealth and get paid. The Centers for Medicare & Medicaid Services (CMS) is adding 11 codes to the list of telehealth services payable under the Medicare Physician Fee Schedule (MPFS). Coverage is retroactive to March 1, 2020, and is effective for the duration of the public health emergency (PHE) for […]
7 Questions About the Future of EHRs

7 Questions About the Future of EHRs

Usability and interoperability are top physician complaints, but will 2021 bring any relief? Physicians often see the EHR as the bane of their professional existence, complaining about awful user interfaces and a lack of interoperability with other systems that forces them to access multiple platforms to get the information they need on one patient. But […]
AMA Calls For Modifications To The Proposed Medicare 2021 Fee Schedule

AMA Calls For Modifications To The Proposed Medicare 2021 Fee Schedule

The American Medical Association (AMA) says the proposed Medicare 2021 fee schedule should be modified to reflect changes brought on by the ongoing COVID-19 coronavirus pandemic. In detailed comments submitted to Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma, the AMA warned that some proposed regulations in the fee schedule would hurt many practices already […]
New CPT Codes for Multi-Virus Tests Detect COVID-19 and Flu

New CPT Codes for Multi-Virus Tests Detect COVID-19 and Flu

The American Medical Association (AMA) today published an update to the Current Procedural Terminology (CPT®) code set that includes new code additions and editorial revisions for reporting medical services sparked by the public health response to the COVID-19 pandemic. The update to the CPT code set was approved by the CPT Editorial Panel, the independent body convened […]