Healthcare News

Telehealth. More services are covered. Medicare now pays healthcare providers for more Telehealth services, such as: Initial inpatient and nursing facility visits; Emergency department visits; Initial/subsequent observation service...

Acupuncture is a treatment that involves inserting thin needles through a person's skin at specific points on the body. This type of service is normally performed in the sphere of pain management. Covered or non-covered, acupuncture is a great tool for helping your patients ...

Medicare covers certain COVID-19 laboratory tests, which can be billed by health care facilities and laboratories. The below HCPCS codes are covered for dates of service on or after February 4, 2020. U0001 – “CDC 2019 Novel Coronavirus (2019-...

Effective April 2, 2020, and each State Fiscal Year thereafter, all non-exempt Department of Health state funds Medicaid payments will be reduced by 1.5%. All fee-for-service payments will receive a decrease to checks and EFTs for dates of services on or after April 2, 2020, in...

On April 30, Centers for Medicare & Medicaid Services issued more waivers and rule changes to make your life easier. Here are some main principles of this boost:1) Removing barriers for healthcare providers to be readily hired from the local community or other states;2) Say “No!” to overwhelming...

Providers who have already received the initial, automatic HHS payment may now apply for additional funds.Being a superhero should always pay-off! Effective April 24, HHS has begun distribution ofadditional fundsto Medicare providersimpacted by COVID-19. Providers will need to apply to receive these...

2020 has been quite atough year for everyone on the globe. Coronavirus disaster has an impact onevery working man in every country. From farmers to politicians andbillionaires – there’s hardly even a person worldwide whose business has notyet faced any challenges. This situation looks like a real-li...

On April 22, Wednesday at 11:00 am EST, we invite you to visit our webinar. Whenquarantine ends, we must come up to scratch.You Will Learn: ·Summary of Government Programs ·How to return your patients back to the office ·New way of prescreening patients ·Safety protocol for in-office staff·Audit rul...

New ICD-10 CM code U07.1 was added starting from April 1, 2020CDC has provided instruction which clarifies the diagnosis coding guidelines including - the sequence of codes application;- reporting of Acute respiratory illness caused by coronavirus;- reporting of symptoms without a confirmed case of ...

A Reminder forHealthcare Providersto Do Credentialing and Enrollwith MedicaidDear Healthcare Providers,At the beginning of the new year, we would liketo remind all providers to make sure that yourcredentialing is in order. If you have moved oryou are planning to make any changes to yourcredentials, ...

Since July 1, 2015, Medicaid of NY no longer pays the full 20 % of the Part B coinsuranceafter Medicare pays its 80%. Medicaid may cover Part B coinsurance only in caseswhen Medicare payment is less than the Medicaid fee. In any case, the total Medicare/Medicaid payment will not exceed the amount th...

Appropriate Use Criteria (AUC) for Advanced Diagnostic Imaging furnished to Medicare beneficiaries.TheProtecting Access to Medicare Act (PAMA) of 2014, Section 218(b), established a new program to increase the rate of appropriate advanced diagnostic imaging services furnished to Medicare beneficiari...

2020 Annual Update to the Therapy Code ListThe CPT Editorial Panel created, for CY 2020; CPT codes 97129 and 97130 to replace CPT code 97127, which CMS did not recognize. These new codes effectively replace HCPCS code G0515, which is deleted, effective January 1, 2020.These codes are designated “som...

CPT Updates for 2020In 2020, there are changes to some of the existing CPT codes, new codes were added and some were deleted. As a healthcare provider, you should have an idea of what these changes are to ensure that you utilize the correct codes and get reimbursed for all the services performed. Su...

MERIT-BASED INCENTIVEPAYMENT SYSTEM (MIPS)REPORTING – YEAR 4The law required CMS to implement incentive programs that reward valueand outcomes for clinicians and other healthcare service providers. One ofthe incentive programs currently enforced is MIPS— Merit-Based IncentivePayment System.Who are e...