As a result of the “21st Century Cures Act” (P.L. 114-255), reciprocal billing arrangements and locum tenens arrangements will apply not only to physicians but to physical therapists (specialty code 65) who work in certain health professional shortage areas.  With the passing of this law, both reciprocal billing arrangements and locum tenens arrangements are applicable to Medicare-enro...
In CMS
May 22nd, 2017
It’s been seven years since the Health Information Technology for Economic and Clinical Health Act (HITECH) of 2010 was signed into law by President Barack Obama, and the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs were born. Naysayers doubted the virtue of quality reporting, but at long last, we’re hearing some positive outcomes of meaningful use ...
May 18th, 2017
After years of litigation, telehealth may soon be fully implemented in Texas. Legislation moving through the statehouse in Austin will legalize the “modern form” of telehealth. Texas is the last state to legalize the computerized service available in the rest of the country. If this bill is signed into law, patients will be able to ...
In CMS
May 18th, 2017
Payers and practices are getting a second chance to participate in the Comprehensive Primary Care Plus (CPC+) model from 2018 to 2022. The four regions selected for CPC+ Round 2 are: Louisiana (statewide) Nebraska (statewide) North Dakota (statewide) New York (Greater Buffalo Region: Erie and Niagara counties) Eligible practices located in these regions may apply ...
May 16th, 2017
If you code for dialysis services provided to Medicare patients, you’ll be interested to know about a new modifier the Centers for Medicare & Medicaid Services (CMS) has created to capture non-covered hemodialysis (HD) treatments provided to Medicare beneficiaries. Medicare Coverage Parameters Hemodialysis is typically furnished three times per week in sessions of three to five hours ...