The Centers for Medicare & Medicaid Services (CMS) issued guidance on Medicaid and Children’s Health Insurance Program (CHIP) coverage of COVID-19-related treatment under the American Rescue Plan Act of 2021 (ARP).
TPE Is Back? An Update for Home Health Billing
For a while now, there have been rumors that the Centers for Medicare and Medicaid (CMS) would be resuming it’s Targeted Probe and Educate Program (TPE)
AMA Announces CPT Codes for Pfizer’s Pediatric COVID-19 Doses
The American Medical Association (AMA) issued new Current Procedural Terminology (CPT) vaccine and administration codes for pediatric doses of the COVID-19 vaccine developed by Pfizer. The provisional codes will be effective for use if Pfizer’s two-dose COVID-19 vaccine for children ages 5 to 11 receives U.S. Food and Drug Administration (FDA) approval or emergency use authorization.
Hospital Billing Services Are Being Outsourced. Here’s Why.
Hospitals billing services have been outsourced for many years, but things are accelerating.
GAO Reports On Provider Performance And Experiences Under MIPS
The Centers for Medicare & Medicaid Services (CMS) administers the Merit-based Incentive Payment System (MIPS), under which MIPS-eligible providers receive a “final score” based on their performance on four measures (quality, cost, promoting interoperability and improvement activities). Their score is compared to a performance threshold, following which, providers receive a negative, neutral, or positive payment adjustment applied to future Medicare payments.
