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In Billing
May 3rd, 2022
Coverage would continue after 36 months. On April 22, 2022, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule under the Consolidated Appropriations Act, 2021 (CAA) that would, in part, extend Medicare coverage of immunosuppressive drugs for kidney transplant recipients. Section 402 of the CAA proposes to extend immunosuppressive drug coverage under ...
In CMS
Apr 11th, 2022
April is upon us. And for those who code and bill for products and services provided in the Ambulatory Surgical Center (ASC) setting, it’s time to familiarize yourself with the quarterly updates to the ASC payment system. The changes to codes and calendar year (CY) 2022 payment rates for ASCs released by the Centers for ...
In CMS
Apr 7th, 2022
American Rescue Plan offers new option for states to extend Medicaid and CHIP coverage to 12 months after pregnancy. Pregnant and postpartum women may now be guaranteed Medicaid and Children’s Health Insurance Program (CHIP) coverage for 12 months after pregnancy instead of the current two months of coverage. Beginning April 1, 2022, the American Rescue ...
Perform well when faced with a RADV audit. If you’re a hierarchical condition category (HCC) coder, no doubt you’ve heard of risk adjustment data validation (RADV) audits. There are various types of RADV audits that are performed by the Centers for Medicare & Medicaid Services (CMS) including contract-level RADV audits and improper payment measure audits ...
In Billing
Apr 1st, 2022
Know the facts for ensuring proper payment of these claims in 2022. New policy for split/shared evaluation and management (E/M) visits (including critical care services and prolonged services) was finalized in the calendar year (CY) 2022 Medicare Physician Fee Schedule (MPFS) final rule. Knowing the new guidelines for billing split/shared visits performed in the facility ...