In Billing
Nov 15th, 2019
Beginning Jan. 1, 2021, all U.S. hospitals will be required to disclose standard charges for items and services offered to patients. Although many hospitals do this already, the Centers for Medicare & Medicaid Services (CMS) finalized Nov. 15 polices that will require hospitals to be more accountable of the prices they charge and more forthcoming ...
In Audit
Nov 14th, 2019
Chronic care management (CCM) services are services that do not involve face-to-face patient/provider contact. The Centers for Medicare & Medicaid Services (CMS) implemented Medicare coverage for CCM in Jan. 1, 2015. There are very specific guidelines providers need to follow to be reimbursed for CCM services rendered to Medicare patients, but it appears CMS is ...
In CMS
Nov 8th, 2019
HCPCS Level II code changes for 2020 were published by the Centers for Medicare & Medicaid Services (CMS) on Nov. 8. These changes include a comprehensive list of new, revised, and deleted codes used to report Medicare Part B services. 2020 HCPCS Level II will include 191 new codes and modifiers, 62 revised codes, and ...
In CMS
Oct 29th, 2019
Wondering where all the ICD-10-CM, CPT, HCPCS Level II, Bill Type, and Revenue codes disappeared to in local coverage determinations (LCDs)? A provision of the 21st Century Cures Act required codes to be removed from LCDs and communicated through local coverage articles. Medicare Administrative Contractors (MACs) began the conversion at the beginning of the year ...
In CMS
Oct 24th, 2019
A movement toward increased transparency about abuse and neglect will further help to ensure nursing home quality and safety. Earlier this month the Centers for Medicare & Medicaid Services (CMS) announced a significant enhancement of the information available to nursing home residents, families, and caregivers on the Agency’s Nursing Home Compare website. Beginning Oct. 23, ...