Tag: COVID-19 public health emergency

2024-Medicare-Telehealth-reimbursement-waiver

Medicare’s Telehealth Reimbursement Waiver Extended to 2024

The final 2024 Medicare Physician Fee Schedule includes a provision that allows health systems to bill Medicare for telehealth services provided by doctors from their homes. This extension of a crucial Medicare reimbursement for health systems using telehealth services lasts until the end of 2024, and it also grants physicians working from home added privacy […]
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Telehealth Rule Changes

Congress Backs Permanent Telehealth Rule Changes

A new bill pending in Congress could make permanent the telehealth changes that proved beneficial to physicians and patients during the COVID-19 pandemic. Additionally, a leading physician group is now backing site-neutral payment for medical services. These two topics have recently been the subject of renewed discussion due to proposals by federal policy makers. CONNECT […]
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revenue-code-for-covide-19-monoclonal-antibody-fusion

Determining Revenue Code for COVID-19 Monoclonal Antibody Infusion

The COVID-19 monoclonal antibodies are being paid under the vaccine benefit. Q: What revenue code should be attached to HCPCS codes M0239 (intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring) and M0243 (intravenous infusion, casirivimab and imdevimab includes infusion and post administration monitoring)? We set it up as revenue code 260 but are getting […]
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Medicare Reimbursement for Home Dialysis

CMS Expands Medicare Reimbursement for Home Dialysis, ESRD

New and innovative home dialysis machines will soon qualify for additional Medicare reimbursement, according to the latest End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) final rule. CMS released the final rule yesterday, which introduced the new transitional add-on payment for dialysis machines used in patient homes and also included an update to Medicare reimbursement rates […]
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Hospital Price Transparency Rule

Preparing for Hospital Price Transparency Rule Compliance

  In the latest Healthcare Strategies podcast, a healthcare lawyer explores hospital price transparency rule compliance and different strategies for solving the healthcare cost problem for patients. A global pandemic may not be enough to stop one of CMS’ more controversial rules from taking effect in just a couple of months. On January 1, 2021, […]
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New CPT Codes for COVID-19

AMA Approves 2 New CPT Codes for COVID-19

One of the codes, CPT Code 99072, is for reporting additional supplies used to mitigate spread of the virus. The American Medical Association (AMA) announced, Sept. 8, two new Category I CPT® codes to meet the changing needs of the healthcare industry brought about by the COVID-19 public health emergency (PHE). The codes were approved […]
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2021 E/M CPT Coding Update

CPT Code for 2021

In the upcoming year, medical coders can anticipate a more streamlined process in adapting to the revised code set, which encompasses alterations in E/M codes and more. Notably, the CPT® Editorial Panel has sanctioned a smaller number of new codes for 2021, providing a welcomed respite. This is particularly relieving in light of the comprehensive […]
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Emergency Rule for COVID-19 Reporting

CMS to Require Hospitals to Report Critical COVID-19 Data on Bed Capacity, PPE and Cases

  The Trump administration is now going to require all hospitals to submit daily critical information on COVID-19, including bed capacity and the availability of essential supplies. The Centers for Medicare & Medicare Services (CMS) released an emergency regulation Tuesday calling for the mandatory reporting. The agency also posted new requirements for lab reporting and […]
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2021 MPFS & Policy Upda tes

A View into Proposed Medicare PFS and Policy Changes for 2021

  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 rehabilitation facilities (IRFs) and psychiatric facilities. Looking specifically at the 2021 Physician Fee Schedule (PFS) proposed rule, scheduled to be published Aug. 17, it […]
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