In Coding
Mar 19th, 2021
Every year we take direction from the most recent CPT® code book, but it’s important to recognize that it doesn’t have the final say on how to document and code evaluation and management (E/M) visits. For the latest guidance, you need the 2021 CPT® Errata and Technical Corrections. Following the implementation of the updated E/M ...
Feb 26th, 2021
Medicare releases two new codes for combination bamlanivimab and etesevimab — the third FDA-approved COVID-19 antibody therapy. Our arsenal of treatment options for COVID-19 expands once again. On Feb. 18, the Centers for Medicare & Medicaid Services (CMS) released two new HCPCS Level II codes for Eli Lilly’s antibody cocktail. This comes after the U.S. ...
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) ...