Some providers appear to be struggling with “how” and “whether or not” to bill for COVID-19 vaccine administrations. On March 15, 2021, CMS increased the per-injection reimbursement to $40. CMS has recognized that there is added cost to the administering provider because of the increased...Read More »
Six codes for telehealth services are newly eligible to reported with modifier -CS (cost-sharing), which requires Medicare to cover beneficiary cost-sharing during office visits and other encounters for the duration of the public health emergency.Read More »
A study published late last year by the Urban Institute forecasted that over 10 million families would lose their employer-sponsored health insurance during the novel coronavirus (COVID-19) pandemic. As a result, healthcare organizations have observed a growing number of uninsured patients and a...Read More »
Most off-campus provider-based departments (PBD) that claimed the mid-build exception under the 21st Century Cures Act failed to meet the requirements and have likely received overpayments, according to CMS.Read More »
CMS recently released FAQs clarifying how it will collect data on market-based MS-DRG relative weights and changes to its methodology for calculating MS-DRG relative weights.Read More »
Implementation of two historic rules set to implement interoperability and patient access provisions of the Cures Act, have been postponed until April 5, 2021.Read More »
NAHRI’s Revenue Integrity Symposium (RIS) is a fantastic way to network with and learn from revenue integrity professionals from across the country. But have you considered that RIS can also help hone your professional speaking skills? Read More »
