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Category: Medical Billing & Collections

Medical Billing & Collections

Q&A Basics for IRF and LTCH Providers

CMS is offering an instructional resource for providers on how to access and use CMS QRP (Quality Reporting Program) Quarterly Q&A documents. This resource addresses the purpose and benefit of …

Medical Billing & Collections

HHS Announces Rule to Protect Consumers from Surprise Medical Bills

Today, the Biden-Harris Administration, through the U.S. Departments of Health and Human Services (HHS), Labor, and Treasury, and the Office of Personnel Management, issued “Requirements Related to Surprise Billing; Part …

Behavioral Health Billing / COVID-19 / DME Billing / Home Health Billing / Hospice Billing / Medical Billing & Collections / Skilled Nursing

The Provider Relief Fund (PRF) Reporting Deadline is Just Weeks Away! Are You Prepared?

The CARES Act, passed in March last year, included $175 billion in Provider Relief Funding (PRF). Lawmakers promised that these funds would be available to providers with no strings attached …

MassHealth / Medicaid / Medical Billing & Collections

MassHealth Adult Daycare Providers: Important COVID-19 Updates!

MassHealth has posted two important bulletins for all Adult Daycare Providers in Massachusetts. The first bulletin, available here, describes COVID-19 related flexibilities for MassHealth providers of adult foster care/group adult …

COVID-19 / Medical Billing & Collections

President Biden Extends the Suspension of Medicare Sequestration

On Wednesday, April 14, 2021, President Biden signed H.R. 1868 into law, which extends a suspension of Medicare sequestration (scheduled payment cuts of two percent for most providers). The payment …

Behavioral Health Billing / DME Billing / Home Health Billing / Hospice Billing / Medical Billing & Collections

Medicare Loan Recoupment has Begun! How Will this Impact Your Organization’s Cash Flow?

Providers struggling during the pandemic were given a critical lifeline from CMS in the form of Medicare advanced/accelerated payments last year. With so many things on your plate during these …

COVID-19 / Medical Billing & Collections

Medicare Increases Payments for COVID-19 Vaccine Administration

From CMS: Today, CMS is increasing the Medicare payment amount for administering the COVID-19 vaccine. This new and higher payment rate will support important actions taken by providers that are …

Medical Billing & Collections

Doctors and Clinicians Preview Period is Now Open

The Doctors and Clinicians Preview Period is officially open as of January 25, 2021 at 10 a.m. ET (7 a.m. PT). You can now preview your 2019 Quality Payment Program …

Medical Billing & Collections

Important Updates to the Medicare Physician Fee Schedule

From MLN Connects: On December 27, the Consolidated Appropriations Act, 2021 modified the Calendar Year (CY) 2021 Medicare Physician Fee Schedule (MPFS): Provided a 3.75% increase in MPFS payments for …

COVID-19 / Medical Billing & Collections

Medicare FFS Claims: 2% Payment Adjustment (Sequestration) Suspended Through March

From MLN Connects: “The Coronavirus Aid, Relief, and Economic Security (CARES) Act suspended the payment adjustment percentage of 2% applied to all Medicare Fee-For-Service (FFS) claims from May 1 through …

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    Insights & News

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