CMS' new final rule prepares for vaccine coverage for Medicare, Medicaid, and commercial insurers without any out-of-pocket costs. CMS will pay for any coronavirus vaccine that receives FDA authorization either through an Emergency Use Authorization or via a license under a Biologics License Application.
CMS finalized the long-awaited Stark Law final rule on November 20. The final rule includes significant changes to exceptions to the law as well as expanded guidance and clarification.
This week’s Medicare updates include three new additions to the OIG Work Plan, a new webpage on billing and coding for COVID-19 monoclonal antibody treatment, a transmittal on the implementation of two new NUBC condition codes, and more!
The Office of Inspector General (OIG) is planning to audit hospital inpatient claims for compliance with the 2-midnight rule, according to a recent update to its Work Plan.
This week’s Medicare updates include the implementation of the ESRD Prospective Payment System changes for CY 2021, instructions on billing and coding for a new COVID-19 monoclonal antibody treatment, an update to edits for vaccine services, and more!