Providers may need to keep track of two different times when reporting new CPT® add-on code 99XXX for prolonged services in 2021. CMS will not follow the time ranges that the AMA released in its guidelines for office E/M visits and prolonged services, according to the 2021 Medicare Physician Fee Schedule (MPFS) proposed rule.
The AMA on August 10 announced four new CPT® codes for reporting COVID-19 laboratory testing, including two codes for reporting severe acute respiratory syndrome coronavirus 2 antibody detection.
CMS released the calendar year (CY) 2021 Medicare Physician Fee Schedule (MPFS) on August 3, introducing 39 new CPT codes, mainly for cardiovascular services. If finalized, the new codes will go into effect January 1, 2021.
Facing the unprecedented COVID-19 public health emergency, CMS released the 2021 OPPS proposed rule later than ever before, with the agency generally reinforcing its recent focus on site-neutral payment policies, lowering reimbursement for drugs purchased under the 340B program, and adding more services to the list of prior authorization.
CMS recently released its 2018 Quality Payment Program experience report, which includes data on participation and performance in the Merit-based Incentive Payment System (MIPS) during the 2018 performance year.
CMS recently issued a major update to frequently asked questions (FAQ) on COVID-19 fee-for-service billing issues. The bulk of the new FAQs concerns hospitals and the ability to invoke various waivers in order to deliver services to patients in their homes using telecommunications technologies.
CMS released data for novel coronavirus (COVID-19) hospitalizations in the first half of 2020, highlighting total Medicare payment for fee-for-service COVID-19 hospitalizations, discharge statuses, and average length of stay.
This week’s Medicare updates include guidance on data to include when reporting COVID-19 test results to the CDC, recommendations on re-opening facilities for non-emergent care, updates to the OIG work plan, and more!
The American College of Physicians (ACP) recently wrote a letter to CMS Administrator Seema Verma recommending that several telehealth flexibilities remain in effect for a period after the novel coronavirus (COVID-19) public health emergency (PHE) is lifted.
Determine the impact of new regulatory relief for hospitals regarding outpatient services and telehealth originating site services provided to patients at alternate locations, including their homes.
