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 …
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 …
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 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 …
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 …
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 …
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 …
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 …
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 …
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 …