On August 27, CMS announced efforts underway to support Louisiana and Texas in response to Hurricane Laura. On August 26, 2020, HHS Secretary Alex Azar declared public health emergencies (PHEs) …
Claims submitted to Palmetto GBA are looping with reason codes C727D, C727E, U524P and U524Q. This issue is being researched and worked on. There is no estimated time frame for …
From CMS: “CMS is finalizing three Medicare payment rules that further advance our efforts to strengthen the Medicare program by better aligning payments for inpatient psychiatric facilities (IPF), skilled nursing …
In June, HHS announced the opening of the application period and plans to distribute approximately $15 billion to eligible providers that participate in state Medicaid and CHIP programs who had …
From Modern Healthcare: “HHS spokesperson Michael Caputo on Monday tweeted that HHS intends to extend the COVID-19 public health emergency that is set to expire on July 25.” “The extension …
From CMS: The Physician Compare 60-day Preview Period is officially open as of June 22, 2020 at 10 a.m. ET (7 a.m. PT). You can now preview your 2018 Quality …
CMS updated their MLN Matters Article on the Medicare FFS Response to the Coronavirus Public Health Emergency. The revised article clarifies when you must use modifier CR (catastrophe/disaster related) and/or …
From UnitedHealthcare: “The following resources will help you quickly reference the effective dates for UnitedHealthcare’s temporary benefit, program and procedure changes related to COVID-19, as well as billing guidelines for …
CMS finalized requirements that will increase access to telehealth for seniors in Medicare Advantage (MA) plans, expand the types of supplemental benefits available for beneficiaries with an MA plan who …
From CMS and CGS: COVID-19: Which Laboratory Claims Require the NPI of the Ordering/Referring Professional? During the COVID-19 Public Health Emergency, CMS is relaxing billing requirements for a limited number …
