News & Analysis

March 8, 2021
Medicare Web

Q: Do we need to submit a formal request to CMS for any of the COVID-19-related waivers to apply? Do we need to keep records or documentation pertaining to which waivers we've used and the services they apply to?

March 3, 2021
Medicare Web

CMS is reminding organizations of Medicare Secondary Payer (MSP) billing and appeal processes after the agency inappropriately denied some claims.

March 3, 2021
Medicare Insider

This week’s Medicare updates include coding and payment information for the Johnson & Johnson COVID-19 vaccine, an OIG report on trends toward more expensive inpatient hospital stays, an MLN article on billing for services when Medicare is a secondary payer, and more!

February 24, 2021
Medicare Web

Automating claim transaction saved the healthcare providers, including medical and dental providers, and payers $122 billion in 2019–2020 and moving to fully electronic transactions could yield an additional $16.3 billion in savings, according to the Council for Affordable Quality Healthcare Inc. 2020 Index.

February 24, 2021
Medicare Insider

This week’s Medicare updates include new items added to the OIG work plan, a download link for HCPCS codes which are excepted from the lab date of service policy, a new program instruction sheet for monoclonal antibodies used to treat COVID-19, and more!

February 22, 2021
Medicare Web

Q: During the public health emergency, are outpatient therapy services provided to a patient located in their home or a clinic billed in the same way as outpatient therapy services provided to a patient whose home has been designated a provider-based department (PBD)?

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