Starting this week and through the end of the COVID-19 public health emergency (PHE), Medicare covers and pays for over-the-counter (OTC) COVID-19 tests at no cost to people with Medicare Part B, including those with Medicare Advantage (MA) plans. In addition to helping prevent the spread of COVID-19, the goal is to find out if Medicare payment for OTC COVID-19 tests will … [Read more...] about Medicare covering OTC COVID-19 tests
Medicare
Getting Medicare reimbursement for telehealth services: The new CONNECT for Health Act
Like most cliches, the one about the COVID-19 pandemic’s transformation of medicine forever is laden with truth. Telemedicine is Exhibit A. Of course, telemedicine goes back decades. But the pandemic accelerated the breakdown of resistance on the parts of providers, regulators and above all, patients. It was supposed to be just temporary. But to use still one more cliché, now … [Read more...] about Getting Medicare reimbursement for telehealth services: The new CONNECT for Health Act
New deadline of Dec. 13 to update APM Incentive billing info
Is your office among the clinicians that need to verify Medicare billing information by Dec. 13 in order to receive payments? The Centers for Medicare & Medicaid Services (CMS) Quality Payment Program website includes 2020 Alternative Payment Model (APM) Incentive Payment details. To access information on the incentive amount and organization paid, clinicians and surrogates … [Read more...] about New deadline of Dec. 13 to update APM Incentive billing info
You have more time to start COVID-19 Medicare loan repayments
The Centers for Medicare & Medicaid Services (CMS) has announced amended terms for payments issued under the Accelerated and Advance Payment (AAP) Program. This Medicare loan program allows CMS to make advance payments to providers and are typically used in emergency situations. Under the Continuing Appropriations Act, 2021 and Other Extensions Act repayment will now … [Read more...] about You have more time to start COVID-19 Medicare loan repayments
Retaining patients as insurance landscape shifts
By Kerri Lenderman bio Walmart’s July announcement that they plan to start selling Medicare insurance should have resonated with America’s physicians as more than an interesting headline to interrupt a summer of coronavirus news. Indeed, it should be a wakeup call and a reminder that unsettling and unconventional forces with deep pockets and consumer brand loyalty are forming … [Read more...] about Retaining patients as insurance landscape shifts
Tell your patients about the new eMedicare app launched this year
The Centers for Medicare & Medicaid Services (CMS) has launched an app that gives consumers a modernized Medicare experience with direct access on a mobile device to some of the most-used content on Medicare.gov. The "What's Covered" app lets people with Original Medicare, caregivers and others quickly see whether Medicare covers a specific medical item or service. … [Read more...] about Tell your patients about the new eMedicare app launched this year
You have less than one month to submit MIPS Year 2 (2018) Data for the Quality Payment Program
The Centers for Medicare & Medicaid Services (CMS) has officially opened the data submission period for Merit-based Incentive Payment System (MIPS) eligible clinicians who participated in Year 2 (2018) of the Quality Payment Program. Data can be submitted and updated any time until 8:00 p.m. ET on Tuesday, April 2, 2019. CMS Web Interface users need to report their … [Read more...] about You have less than one month to submit MIPS Year 2 (2018) Data for the Quality Payment Program
CY 2019 List of Medicare Telehealth Services
Why you need this tool: Has your practice recently implemented telehealth? If so, you might not know which CPT codes are available for reimbursement. How this tool helps you: This list, compiled by Nick Hernandez of ABISA LLC, will show you which CPT codes are currently (2019) available. How to use this tool: Refer to this list of codes when billing for telehealth services. … [Read more...] about CY 2019 List of Medicare Telehealth Services
How to determine the order of multiple insurance coverages
By Ranadene (Randi) K. Tapio, MBA, CMRS, CMC, Guest Contributor bio When patients have multiple insurance coverage, at times it can be difficult to determine which one is primary, secondary, and tertiary. Sometimes, the patients don't even know which order they go in! While there are always going to be exceptions, here are some basic guidelines to keep in mind: … [Read more...] about How to determine the order of multiple insurance coverages
CMS finalizes changes to the Medicare Physician Fee Schedule and Quality Payment Program
Last week, the Centers for Medicare & Medicaid Services (CMS) finalized proposals that it says will address provider burnout and provide clinicians immediate relief from excessive paperwork tied to outdated billing practices. The final 2019 Physician Fee Schedule (PFS) and the Quality Payment Program (QPP) rule also updates Medicare payment policies to promote access to … [Read more...] about CMS finalizes changes to the Medicare Physician Fee Schedule and Quality Payment Program