2023 is shaping up to be a year of change for home health billing and home health coding. This means revenue cycle leaders will see clear benefits from familiarizing themselves with these changes and working to get in front of the shifts that are influencing the home health billing and coding space.
On December 8, 2022, the U.S. Food and Drug Administration (FDA) amended the emergency use authorizations of the updated (bivalent) Pfizer-BioNTech and Moderna COVID-19 vaccines to include use in children down to 6 months old. Your patients may know these as “updated COVID-19 vaccines”:
Starting with claims for services on January 1, 2023, the 2 E/M visit families titled “Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services” and “Home Services” are now 1 E/M code family. The new family is titled “Home or Residence Services.” Use the codes in this family to report E/M services you provide to a patient in:
Artificial Intelligence (AI) solutions have been hyped up in everything from customer service to disease diagnosis – and the healthcare revenue cycle hasn’t been exempt.
You’ve likely heard about how AI is a great fit for the healthcare revenue cycle – revenue cycle is a treasure trove of data and workflows that require manual input. Many healthcare leaders have
Clinical Laboratory Improvement Amendments (CLIA) regulations require a facility to be appropriately certified for each test they do. CMS edits laboratory claims at the CLIA certificate level to make sure that Medicare and Medicaid only pay for laboratory tests in a facility with a valid, current CLIA certificate.
