In Billing
Jun 10th, 2021
Retroactive code pricing updates may require claims lookback. The Centers for Medicare & Medicaid Services (CMS) has posted a retroactive update to the April Average Sales Price (ASP) pricing file for three Medicare Part B drugs. Also now available are the July ASP and Not Otherwise Classified (NOC) pricing files and the ASP NDC HCPCS ...
In Billing
Jun 1st, 2021
Arm yourself with a solid understanding of key terms and guidelines to overcome sepsis coding hurdles. Sepsis, systemic inflammatory response syndrome (SIRS), and septicemia have historically been difficult to code. Changing terminology, evolving definitions, and guideline updates over the past 20 years have created confusion with coding sepsis. Much has changed since I wrote my ...
May 26th, 2021
If you received government loans during the public health emergency, they may already be due. On March 28, 2020, the Centers for Medicare & Medicaid Services (CMS) expanded the COVID-19 Accelerated and Advance Payments (CAAP) Program to a wider group of Medicare Part A providers and Part B suppliers in response to the shutdown brought ...
In Billing
May 17th, 2021
HHS program reimburses healthcare providers and facilities for testing, treatment, and vaccine administration fees associated with insured patients. On May 3, 2021, the U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), announced the new COVID-19 Coverage Assistance Fund (CAF) program that covers costs of administering COVID-19 vacc...
In Billing
Apr 13th, 2021
No time to read all those wordy transmittals? Here’s news you can peruse in under 5 minutes. Catch up on the latest Medicare Part A/B news communicated via Medicare Learning Network (MLN) articles on your break. Below are summaries of notable coding and billing changes. Do I have to repay the money I received from ...