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Category: Medical Billing & Collections

Medical Billing & Collections / Skilled Nursing

SNFs: More Scrutiny Coming Your Way! Stay on Top of the 3 Day Inpatient Hospital Stay Requirement.

An Office of Inspector General (OIG) report found that Medicare improperly paid for SNF services when patients didn’t meet the Medicare 3-Day inpatient hospital stay requirement. Here is the summary …

COVID-19 / Medical Billing & Collections

CMS Takes Steps to Ensure Medicare Beneficiaries Have Wide Access to COVID-19 Antibody Treatment

From CMS’ MLN Connects: “CMS announced that starting November 10, Medicare beneficiaries can receive coverage of monoclonal antibodies to treat COVID-19 with no cost-sharing during the Public Health Emergency (PHE). …

Medicaid / Medical Billing & Collections

CMS Announces Medicaid and CHIP Managed Care Final Rule

CMS has released the 2020 Medicaid and Children’s Health Insurance Program (CHIP) Managed Care final rule. According to CMS’ Press Release: “The rule fosters accountability by ensuring CMS issues guidance …

Medical Billing & Collections

2022 Medicare Advantage and Part D Advance Notice Part II

CMS released Part II of the Calendar Year (CY) 2022 Advance Notice of Methodological Changes for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies (the …

Medical Billing & Collections

Getting Ready for the Medicare Open Enrollment Period – New Webinar from CMS

CMS has uploaded a new webinar to help patients and providers better understand this year’s Medicare program. This webinar explains Medicare Program updates and resources to help those who assist …

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

HHS Changes the Rules for COVID-19 Provider Relief Grants Again.

HHS has changed the rules for COVID-19 Provider Relief Grant funds yet again. In their most recent flip-flop, HHS is now allowing providers to keep grant funds up to the …

Medical Billing & Collections

Stay on Top of Changing Insurance: Your Patients Have More Choice than Ever on Healthcare.gov

As the Healthcare.gov open enrollment period approaches, most consumers will enjoy lower premiums and more choice. A new report from CMS shows that 22 more issuers will offer coverage through …

COVID-19 / Medicaid / Medical Billing & Collections

CMS Adds 11 New Telehealth Services for the Duration of the COVID-19 Pandemic

CMS expanded the list of telehealth services that Medicare Fee-For-Service will pay for during the COVID-19 Public Health Emergency (PHE). CMS is also providing additional support to state Medicaid and …

Medical Billing & Collections

Medicare Open Enrollment Begins Tomorrow. What’s New for Beneficiaries this Year?

Earlier this month, CMS released the 2021 benefit and cost-sharing information for Medicare Advantage and Part D prescription drug plans on Medicare.gov. Additionally, for the first time, seniors will be …

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

Medicare Advanced and Accelerated Loan Repayments Have Been Delayed!

Congress has passed the Under the new “Continuing Appropriations Act” of 2021 and the “Other Extensions Act.” Thanks to these new laws, repayment of your Medicare advanced or accelerated loan …

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