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Category: Medical Billing & Collections

Medical Billing & Collections

2021 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long Term Acute Care Hospital (LTCH) Final Rule

CMS issued the fiscal year (FY) 2021 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long Term Acute Care Hospital (LTCH) final rule. The changes in the rule will impact …

Medical Billing & Collections

CMS Offers Comprehensive Support for Louisiana and Texas with Hurricane Laura

On August 27, CMS announced efforts underway to support Louisiana and Texas in response to Hurricane Laura. On August 26, 2020, HHS Secretary Alex Azar declared public health emergencies (PHEs) …

Medical Billing & Collections

Important Palmetto Update: Claims with Reason Codes C727D, C727E, U524P and U524Q

Claims submitted to Palmetto GBA are looping with reason codes C727D, C727E, U524P and U524Q. This issue is being researched and worked on. There is no estimated time frame for …

Behavioral Health Billing / Hospice Billing / Medical Billing & Collections / Skilled Nursing

CMS Updates Three Medicare Payment Rules: Hospices, SNFs, and IPFs

From CMS: “CMS is finalizing three Medicare payment rules that further advance our efforts to strengthen the Medicare program by better aligning payments for inpatient psychiatric facilities (IPF), skilled nursing …

Medical Billing & Collections

Medicaid and CHIP Distribution Update from HHS

In June, HHS announced the opening of the application period and plans to distribute approximately $15 billion to eligible providers that participate in state Medicaid and CHIP programs who had …

Medical Billing & Collections

HHS to Extend COVID-19 Public Health Emergency

From Modern Healthcare: “HHS spokesperson Michael Caputo on Monday tweeted that HHS intends to extend the COVID-19 public health emergency that is set to expire on July 25.” “The extension …

Medical Billing & Collections

Physician Compare Preview Period is Now Open

From CMS: The Physician Compare 60-day Preview Period is officially open as of June 22, 2020 at 10 a.m. ET (7 a.m. PT). You can now preview your 2018 Quality …

Medical Billing & Collections

COVID-19 Updates from CMS: Using the CR Modifier and DR Condition Code

CMS updated their MLN Matters Article on the Medicare FFS Response to the Coronavirus Public Health Emergency. The revised article clarifies when you must use modifier CR (catastrophe/disaster related) and/or …

Behavioral Health Today / Home Health Billing / Medical Billing & Collections

UnitedHealthcare: Important Dates and Billing Guidance

From UnitedHealthcare: “The following resources will help you quickly reference the effective dates for UnitedHealthcare’s temporary benefit, program and procedure changes related to COVID-19, as well as billing guidelines for …

Medical Billing & Collections

2021 Medicare Advantage and Part D Final Rule

CMS finalized requirements that will increase access to telehealth for seniors in Medicare Advantage (MA) plans, expand the types of supplemental benefits available for beneficiaries with an MA plan who …

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