April 22, 2020

Medicare increased payments for patients diagnosed with the novel coronavirus (COVID-19). MLN Matters SE20015, implements provisions of the Coronavirus Aid, Relief, and Economic Security (CARES) Act for hospitals paid under the Inpatient Prospective Payment System (IPPS), long-term care hospitals (LTCH) PPS, and inpatient rehabilitation facilities (IRF) PPS.

April 21, 2020
News & Insights

The Office for Civil Rights (OCR) announced on April 9 that it will not impose penalties for violations of HIPAA rules in connection with the operation of novel coronavirus (COVID-19) testing sites during the public health emergency.

April 20, 2020
News & Insights

CMS on April 14 released a ruling that nearly doubles Medicare Part B payment for rapid-result COVID-19 laboratory tests from about $51 per test to $100 per test. The payment increase applies to tests performed on or after March 18 and remains in effect until the end of the public health emergency.

April 20, 2020
News & Insights

Q: Do National Correct Coding Initiative (NCCI) edits apply to all claims or do they only apply to Medicare claims?

April 17, 2020
News & Insights

Q: How would you report an E/M visit for a new patient who was exposed to COVID-19 and sent to a diagnostic testing site?

April 16, 2020
News & Insights

Q: HHS recently issued a notice that fee limitations will apply only to an individual’s request for access to their own records and not to an individual’s request to transmit records to a third party. Will limitations imposed by state law now apply?

April 15, 2020
News & Insights

Q: Our facility sees a lot of patients dealing with diabetes and diabetic complications. Do you have any advice for helping these patients during their stay or after discharge?

April 15, 2020
News & Insights

CMS updated its novel coronavirus (COVID-19) billing and coding FAQs on April 9 to address new information on payment for specimen collection, diagnostic laboratory services, and hospital services including temporary expansion sites.

April 14, 2020
News & Insights

In a 26-page document published on April 9, CMS outlined dozens of blanket waivers that are retroactively effective March 1. The entire utilization review (UR) condition of participation will be waived, according to CMS.

April 13, 2020
News & Insights

CMS released updated infection control guidance on April 8 for healthcare facilities aimed at preventing the spread of the novel coronavirus (COVID-19), including new instructions for dialysis facilities on isolating and protecting patients with end-stage renal disease.

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