Waivers, modifiers, lab tests, multiple diagnosis codes…the layers and specifics of COVID-19 coding cannot be overlooked when ensuring appropriate reimbursement and safeguarding claims against third-party payer audits. As hospitals and healthcare organizations begin to assess the required steps necessary to prepare for the transition back to a pre-COVID-19 operating environment, apart from timelines and state […]
COVID-19 is changing the way we practice medicine. Social distancing measures have led to a surge in demand for telemedicine, while practices around the country are seeing a reduced number of in-office patient visits. While the regulatory environment has not always been favorable towards telehealth, federal and state legislations have recently loosened in an effort […]
Without much warning, the novel Coronavirus, or COVID-19, has taken over our healthcare system. It has taxed our healthcare workers, our national stockpiles of PPE, and affected millions of Americans nationwide. In addition to healthcare workers on the front lines, the pandemic has also impacted the healthcare revenue cycle, causing major confusion, questions, and inconsistencies as […]
The U.S. Food and Drug Administration (FDA) has updated COVID-19 antibody testing guidance. According to a news release, the revised rule allows laboratories and commercial manufacturers to help accelerate the use of tests they develop to expand rapid testing capacity. The rule allows companies to develop and distribute serological, antibody, tests after validation while an […]
Betsy Nicoletti, MS, a nationally recognized coding expert, will take your coding questions via email and provide guidance on how to code properly to maximize reimbursement. Have a question about coding? Send it here. In this column, Nicoletti outlines some key guidance for using telemedicine. These rules would apply during the Centers for Medicare & Medicaid […]
CMS is now offering MIPS credit for all participating clinicians of the Quality Payment Program to help report and provide COVID-19 data. The Centers for Medicare & Medicaid Services (CMS) is asking all clinicians in the Quality Payment Program (QPP) to contribute to the scientific research and reporting efforts to help curb the spread […]
The Centers for Medicare & Medicaid Services (CMS) is pushing clinicians to participate in the Quality Payment Program to contribute scientific research and evidence to aid in the fight against the COVID-19 coronavirus pandemic. According to a news release, those who participate in COVID-19 clinical trials and report information may now earn credit in the Merit-based […]
As CMS continues to update their policies on telehealth during the COVID-19 pandemic and the Public Health Emergency, ICD10monitor is here to continue to keep you informed on these changes. In the meantime, let us answer some burning questions to get you through the telehealth confusion, until you can join our webcast. QUESTION: What are requirements […]
CMS is boosting Medicare payment to $100 for coronavirus lab tests that can process more than 200 specimens a day effective April 14 through the duration of the national emergency. CMS is nearly doubling Medicare payment for high-production coronavirus lab tests in efforts to boost COVID-19 testing capacity and monitoring in nursing home communities and […]
The COVID-19 pandemic has forced rapid changes on the way physician practices operate. To help doctors navigate the shifting landscape, the AMA has released guidance on issues related to the pandemic, including new Medicare policies, answers to patient concerns and, most recently, advice on coding for COVID-19 testing, treatment and telemedicine services. Resources include authoritative […]