News in Medical Billing and Coding Services: Surprise Billing Ruled Illegal Again
The No Surprises Act is in the news yet again to start off 2023, promising more disruption for medical billing and coding services.
On February 6 of this year, District Judge Jeremy Kernodle issued another judgment in favor of the Texas Medical Association (TMA) – one that providers across the country will look at positively.
Update For Medicare Part B Coinsurance For Insulin
Starting July 1, 2023, Part B coinsurance for a month’s supply of insulin used in an insulin pump covered under the DME benefit can’t exceed $35.
The Centers for Medicare & Medicaid Services (CMS) will adjust payments to suppliers and pharmacies to account for the balance of the reduced coinsurance. Suppliers will continue to get the Medicare payment amount for the insulin (average sales price plus 6%) minus any applicable coinsurance, which is capped at $35
HHS Renews COVID-19 Public Health Emergency Until May
As a result of the continued consequences of the Coronavirus Disease 2019 (COVID-19) pandemic, Secretary of Health and Human Services, Xavier Becerra, renewed the COVID-19 public health emergency (PHE), effective February 11, 2023, for another 90 days.
Source: U.S. Department of Health and Human Services (HHS)
About 3Gen
3Gen Consulting has always been in the forefront when it comes to adding value. We always believe in setting our own standards. What sets us apart is the investment that we make in our people, processes and innovation to provide you with market leading healthcare revenue cycle management services. We work as an extension of our clients’ teams by focusing on their key challenges, aligning with their culture and delivering the best results.
If you’re interested in finding the right medical billing and coding services partner, contact us today.
Tips for Pediatric Billing and Coding in 2023
As 2023 kicks off, now is a great time for pediatric revenue cycle leaders to take a step back and review ways they can set themselves up for success, reevaluating some of their priorities and best practices. For many leaders, this can involve everything from renewed focus on efficiency to reviewing your relationship with pediatric medical billing companies.