The 2021 Medicare Physician Fee Schedule (MPFS) final rule, released December 2, extends certain telehealth benefits but makes cuts to the Medicare conversion factor (CF) to offset evaluation and management (E/M) changes that would otherwise have resulted in significant reimbursement increases. Most provisions of the final rule are effective January 1, 2021.
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.
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.
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.
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.
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.
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.
COVID-19 patients on mechanical ventilation require intensive care and resources, often for extended periods of time. But gaps in documentation and coding can leave hospitals missing out on earned—and much-needed—revenue and leave crucial holes in patients’ medical records. Use these strategies to ensure appropriate reimbursement for these complex cases.
