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Category: Medical Billing & Collections

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 …

Medical Billing & Collections

Getting Paid for COVID-19 Lab Tests

From CMS and CGS: COVID-19: Which Laboratory Claims Require the NPI of the Ordering/Referring Professional? During the COVID-19 Public Health Emergency, CMS is relaxing billing requirements for a limited number …

Medical Billing & Collections

Updates for Telephone Evaluation and Management Visits

From CGS: The March 30 Interim Final Rule with Comment Period added coverage during the Public Health Emergency for audio-only telephone evaluation and management visits (CPT codes 99441, 99442, and …

Medical Billing & Collections

VA Community Care Network (CCN) Starting in June for Region 4

From TriWest’s May 2020 Provider Pulse: The Department of Veterans Affairs (VA) new Community Care Network (CCN) is beginning its rollout in Region 4 on June 8, 2020. CCN is …

Medical Billing & Collections

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

Section 3709 of the Coronavirus Aid, Relief, and Economic Security (CARES) Act temporarily suspends the 2% payment adjustment currently applied to all Medicare Fee-For-Service (FFS) claims due to sequestration. The …

Medical Billing & Collections

CMS Reevaluates Accelerated Payment Program and Suspends Advance Payment Program

Today, CMS announced that it is reevaluating the amounts that will be paid under its Accelerated Payment Program and suspending its Advance Payment Program to Part B suppliers effective immediately. …

DME Billing / Home Health Billing / Hospice Billing / Medical Billing & Collections / Skilled Nursing

CARES ACT Provider Relief Fund Payment Attestation Portal Now Open

The CARES Provider Relief Fund Payment Attestation Portal is now available through hhs.gov/providerrelief. As a reminder, you must sign an attestation confirming receipt of the funds and agree to the …

DME Billing / Home Health Billing / Hospice Billing / Medical Billing & Collections / Skilled Nursing

Are You Taking Advantage of the Accelerated/Advance Payment Program from CMS?

CMS has delivered near $34 billion in the past week to the healthcare providers on the frontlines battling the 2019 Novel Coronavirus (COVID-19). The funds have been provided through the …

Medical Billing & Collections

Revised Guidance: Billing for Professional Telehealth Distant Site Services During the Public Health Emergency

CMS has issued an update/correction to the previously released guidance on billing for professional telehealth distant site services during the public health emergency: “Building on prior action to expand reimbursement …

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