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Category: Medical Billing & Collections

Medical Billing & Collections / Newsletter

CMS Approves First State Request for 1135 Medicaid Waiver in Florida

From CMS: “On March 13, 2020, President Trump declared the rapidly evolving COVID-19 situation a national emergency.   This bold action enables the Centers for Medicare and Medicaid Services (CMS) to …

Medical Billing & Collections

HHS Releases Strategy to Reduce Administrative and EHR Burden

HHS released a comprehensive strategy to reduce the regulatory and administrative burden related to the use of health IT, including EHRs. Reflective of public comment, the Strategy on Reducing Regulatory and …

Home Health Billing / Hospice Billing / Medical Billing & Collections

Big Updates Coming at the Next Home Health, Hospice & DME Open Door Forum

The next Home Health, Hospice & DME Open Door Forum is scheduled for Wednesday, February 26, 2020 PM at 2:00-3:00 PM Eastern Time (ET). The Open Door Forum will include …

Medical Billing & Collections

Bill Correctly for Medicare Telehealth Services

From CMS MLN Connects: In a recent report, the Office of Inspector General (OIG) determined that the Centers for Medicare & Medicaid Services (CMS) improperly paid practitioners for some telehealth …

Medical Billing & Collections

You Can Never Be Too Careful: Check Out These HIPAA Administration Simplification Fact Sheets From CMS

CMS has created a series of fact sheets explaining the basics of HIPAA Administrative Simplification transactions and code sets. These fact sheets are designed to help the health care industry …

Medical Billing & Collections

Medicare Advantage Plans Receive a Disappointing Pay Increase for 2021

Yesterday CMS issued a proposed rule and the Advance Notice Part II related to the Medicare Advantage and Part D prescription drug programs. Like most proposals, it presents a mixed …

Medical Billing & Collections / Newsletter

A New Bill May Slow Down Experimental Payment Models

The Strengthening Innovation in Medicare and Medicaid Act—HR 5741—would require the HHS secretary to keep track of how a demonstration model affects beneficiaries’ access to care. HHS would also have …

Medical Billing & Collections

GAO Sets Their Sights on 340B and Medicaid Drug Rebate Programs

If drug manufacturers want certain drugs covered by Medicaid, they must participate in both “340B” and Medicaid Drug Rebate programs. The 340B program allows certain hospitals and clinics to buy …

Medical Billing & Collections

New Medicare Card Flyer for Your Patients

CMS finished mailing new Medicare cards. The new cards without Social Security numbers offer better identity protection. Help protect your patient’s personal identity by getting their new Medicare Beneficiary Identifier …

Medical Billing & Collections

CMS to Test Two Voluntary Risk-Sharing Options for Direct Contractors

CMS will test two voluntary risk-sharing options in Direct Contracting starting in 2021: (1) Professional, a lower-risk option (50% Shared Savings/Shared Losses (SS/SL)) and Primary Care Capitation (PCC) equal to …

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    Insights & News

    • Tax Season is Almost Here – Take these Steps to Get Your Refund Faster in 2024!
    • Was Your Business Conned by an Unethical Employee Retention Credit (ERC) Preparer? Withdraw Your Claim Before it’s too Late!
    • IRS: Taxpayers impacted by Hurricane Lee in Maine and Massachusetts qualify for tax relief; various deadlines postponed to Feb. 15

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