Jan 8th, 2021
Does new ‘lost revenues’ clarification help or hurt agencies? On Dec. 16, 2020, the Department of Health and Human Services (HHS) announced that it added $4.5 billion to the Provider Relief Fund’s (PRF) phase 3 distribution to mitigate the impact of COVID-19 on healthcare providers. “HHS is providing more than $24 billion in new relief ...
In Billing
Dec 22nd, 2020
The industry receives a reprieve from the financial strain of the COVID-19 public health emergency. A $1.4 trillion government spending bill and $900 billion COVID-19 relief package, signed into law Dec. 27, includes a slew of provisions directed toward the Department of Health and Human Services, but one in particular will put money back into ...
In CMS
Dec 9th, 2020
In a final rule, CMS expands telehealth coverage but enforces budget neutrality mandate. After a slight delay, the Centers for Medicare & Medicaid Services (CMS) has finalized 2021 payments and policies under the Medicare Physician Fee Schedule (PFS). Most notably, the final rule makes permanent several telehealth flexibilities introduced during the public health emergency (PHE) ...
In Billing
Nov 4th, 2020
Revised instructions indicate payment status for new CPT codes. The Centers for Medicare & Medicaid Services (CMS) has issued changes to the October update of the 2020 Medicare Physician Fee Schedule Database (MPFSDB) that you do not want to ignore. Among the revisions relayed in MLN Matters 11939, issued Oct. 27, are the anticipated payment ...
In Billing
Sep 18th, 2020
Quality reporting won’t pay off in 2020 for some eligible clinicians unless they do this. Eligible clinicians who achieved Qualifying Alternative Payment Model (APM) Participant (QP) status in 2018 should begin receiving their 5 percent incentive payment this month. More than 183,000 clinicians achieved QP status in the 2018 performance year of the Quality Payment ...