In Billing
May 26th, 2023
Here’s what the OIG is looking for, and Medicare carriers will be too. Did healthcare providers meet Medicare requirements and guidance when billing for psychotherapy services during the public health emergency (PHE) for COVID-19? The Office of Inspector General (OIG) conducted a nationwide audit to find out, and recently published their findings. It is not ...
May 25th, 2023
After learning that the public health emergency (PHE) for COVID-19 was to end May 11, the healthcare industry wondered what telehealth services would remain covered. What regulations under the Consolidated Appropriations Act, 2023 (CAA) would extend coverage? Which provisions in the Medicare Physician Fee Schedule Final Rule be enforced? And which of the Centers for ...
In CMS
May 1st, 2023
Reimbursement will require you to know which waivers to Medicare coverage and payment policies end May 11. Once the end of the public health emergency (PHE) for COVID-19 was announced by the White House and then by Department of Health and Human Services Secretary Xavier Bacerra, everyone jumped to mixed conclusions about what that meant ...
In CMS
Feb 3rd, 2023
After 12 PHE declaration renewals, the feds’ wind-down will drop a significant workload on providers. The Biden administration has been signaling the end of the COVID-19 public health emergency (PHE) since late last summer, but now there’s a concrete end date — which means you need to start preparing for it immediately. In an August ...
In Audit
Jan 26th, 2023
More safeguards are needed to strengthen program integrity. The U.S. Department of Health and Human Services’ (HHS’) Office of Inspector General’s (OIG) Pandemic Response Accountability Committee (PRAC) Health Care Subgroup issued a report, December 2022, revealing telehealth use and integrity risks in six federal agencies during the first year of the COVID-19 public health emergency (...