Insights
Notes on reimbursement, audits, coding, and the rules that move a healthcare revenue cycle.
CMS Update
March 18, 2021
Centers for Medicare and Medicaid Services issued a correction notice on Thursday March 18, in the Federal Register. Codes inadvertently included on the Telehealth List in error: 96121, 99221,…
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Surprise Billing
March 18, 2021
Contact us for clarity. Contact Us
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CMS Update
March 15, 2021
Centers for Medicare & Medicaid Services (CMS) announced a reimbursement increase for administering the COVID-19 vaccine. Effective March 15, 2021, the national average payment rate for…
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February 19, 2021
Click here to read the white paper.
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CMS Update
January 7, 2021
The Consolidated Appropriations Act, 2021 has modified the Medicare Physician Fee Schedule (MPFS). Two major impacts under the Act include: A 3.75% increase in MPFS payments for CY 2021 Delayed…
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CMS Audits
November 2, 2020
This is the all too familiar scenario. An order for radiology services is received, the patient is scheduled, and services are rendered. And now there’s an audit. The radiology provider is on the…
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CMS Audits
September 10, 2020
The Centers for Medicare & Medicaid Service (CMS) has approved eight new Recovery Audit Contractor (RAC) review areas effective September 8, 2020. As I previously posted, CMS has re-engaged audits…
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CPT
September 9, 2020
The American Medical Association (AMA) issued two new CPT® codes effective September 8, 2020. The press release can be found here. The New Codes 99072 Additional supplies, materials, and clinical…
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Inpatient Audits
August 28, 2020
As part of the public health emergency CMS added increased weighted reimbursement to COVID-19 DRGs. With a quick decline in revenue and uncertainty of how to code for COVID-19 cases there was a…
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