Q: Is there a national standard for what documentation must be submitted to Medicare Administrative Contractors (MAC) when requesting prior authorization?
CMS’ latest round of updates to its novel coronavirus FAQs on Medicare fee-for-service billing provides additional information on hospital billing for remote services, including a decision tree guiding hospitals through their options for billing for telemedicine.
To ensure you and your team have the most recent coding and billing guidance related to the novel coronavirus public health emergency, regularly check these official resources.
A federal judge dismissed the American Hospital Association’s challenge to CMS' Hospital Price Transparency Requirements final rule. The final rule, effective January 1, 2021, will require hospitals to disclose charges they privately negotiate with commercial payers, among other requirements.
Although patient care remains the primary concern during COVID-19, the financial effects of the crisis will linger for many months afterward. Maintaining good UR discipline may help hospitals emerge from this emergency in better financial condition and able to better serve their populations.
