The 2021 Outpatient Prospective Payment System (OPPS) final rule, released December 2, moves ahead with most of the provisions of the proposed rule. This should come as a relief to hospitals required to implement most of its policies by January 1, 2021.Read More »
United Healthcare (UHC) recently announced that it is delaying the implementation date of its unique laboratory code policy. The policy, which was originally set to go into effect January 1, 2021, will be delayed until January 1, 2022.Read More »
The American Medical Association (AMA) recently announced a handful of new CPT® codes for reporting COVID-19 vaccine products and immunization administration. The code release includes two vaccine product codes and four vaccine administration codes.Read More »
The New COVID-19 Treatments Add-on Payment will allow additional Medicare payment for eligible hospital inpatient and outpatient cases that involve certain new products or treatments authorized or approved for COVID-19.Read More »
NAHRI’s October 27 Quarterly Call featured important association updates, an in-depth presentation on optimizing post-COVID-19 reimbursements through a revenue integrity program, and a detailed look at revenue integrity in the age of value-based purchasing and the patient-centered revenue cycle...Read More »
Physician and non-physician practitioners may benefit from reviewing bundling rules for emergency department visit services billed on the same date as critical care, according to the October 2020 Medicare Quarterly Compliance Newsletter.Read More »
CMS added 11 new services to the list of telehealth services on October 14 that it will pay for during the novel coronavirus (COVID-19) public health emergency.Read More »