Dec 4th, 2019
While there has been more than a $5.3 billion decrease in estimated improper payments for home health services over the past three years, the projected improper payment amount for home health services during the 2018 report period was $3.2 billion. This translates to a Medicare Fee-For-Service (FFS) improper payment rate of 17.6 percent, accounting for ...
In Billing
Nov 25th, 2019
Three new HCPCS Level II G codes are added to the Medicare Telehealth Services list for Calendar Year (CY) 2020. These codes describe new bundled services for the treatment of opioid use disorders (OUD). The Centers for Medicare & Medicaid Services (CMS) states in the 2020 Physician Fee Schedule final rule, “By creating a separate ...
Sep 3rd, 2019
In response to Hurricane Dorian, a public health emergency (PHE) is in effect for Puerto Rico, Florida, Georgia, and South Carolina. A temporary waiver of certain Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) requirements; special enrollment opportunities for hurricane victims; and improved access to dialysis care are now in place. The PHE in Puerto ...
Understand their purpose and triggers to help hospitals improve performance ratings tied to payment. In this climate of quality care, the ability to measure and track clinical performance and outcomes within a facility is essential. The Agency for Healthcare Research and Quality (AHRQ) developed Quality Indicators for that purpose. There are four categories of AHRQ ...
In Billing
May 31st, 2019
The Durable Medical Equipment Medicare Administrative Contractors (DME MAC) are changing the requirement that medical coders to use the right (RT) and left (LT) modifiers for certain HCPCS codes, and that the modifiers be used when billing two of the same item or accessory on the same date of service and the items are being ...