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.
Modifiers provide a means by which a physician or facility can flag a service that has been altered by a special circumstance but has not changed in definition or code. Break down CPT guidelines for reporting hospital modifiers -25, -50, -59, -LT, and RT.
Risk is defined as the possibility that an event will occur that will adversely affect the achievement of objectives. Numerous internal and external risks can negatively affect the business intentions of management and the board. The healthcare industry is complex, and risk is everywhere.
Q: The 2021 Inpatient Prospective Payment System (IPPS) final rule requires providers to transmit all records to Quality Improvement Organizations (QIO) electronically. How can organizations make sure that they are in compliance if they’re not already?
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.
