Category: Blog

Early Impact Of CMS Expansion Of Medicare Telehealth During COVID-19

Early Impact Of CMS Expansion Of Medicare Telehealth During COVID-19

During the Coronavirus pandemic, the Centers for Medicare and Medicaid Services (CMS) has taken unprecedented action to expand telehealth for Medicare beneficiaries. Since people were advised to stay at home to reduce risk of exposure of COVID-19, there was an urgency to increase access to telehealth services to help people who need routine care and […]
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Post COVID-19_ Medical Billing Finally Realizes the Value of Text-to-Pay

Post COVID-19: Medical Billing Finally Realizes the Value of Text-to-Pay

Contactless payments were on the rise even before COVID-19 hit. But now, health systems should see them as essential. Consumers are increasingly wary of touching a credit card terminal that others have used, a perfect conduit for spreading germs. For consumers, text payments serve as a convenient contactless way to pay, but there are other unique benefits […]
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Get Paid for COVID-19 Testing_Treatment of Uninsured

Get Paid for COVID-19 Testing/Treatment of Uninsured

Payers are reimbursing providers for all COVID-19-related testing and treatment they are furnishing to their insured members, but what if the patient is uninsured? Healthcare providers need not write off COVID-19 testing and treatment services rendered to uninsured patients. Compensation is available! The public health emergency for COVID-19 requires the healthcare industry to focus their […]
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2021 ICD-10 CM Codes

Sneak a Peek at ICD-10-CM 2021

There are a slew of changes and only a few months before you will need to start using the new codes. The Centers for Medicare & Medicaid Services (CMS) released on July 1 the ICD-10-CM code descriptions, tables and index, and addendum for fiscal year 2021. There are 490 additions, 58 deletions, and 47 revisions — increasing […]
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Sneak a Peek at ICD-10-CM 2021

New COVID-19 Test Codes Effective Immediately

Just when you thought you had all the COVID-19 coding for laboratory testing figured out — hold the phone — there are three new CPT® codes. These newest codes are effective June 25, 2020. CPT® Code Long Descriptor 0223U Infectious disease (bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22 targets […]
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CMS Guidance for Remote Patient Monitoring (RPM)

CMS Guidance for Remote Patient Monitoring (RPM)

The Centers for Medicare & Medicaid Services (CMS) has provided some guidance within the “Medicare and Medicaid Programs Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency” interim final rule (IFR), allowing for remote patient monitoring, or RPM. This type of patient care is very helpful for ongoing treatment during the COVID-19 […]
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Telehealth Codes To Know

Telehealth Codes To Know

There are numerous coding options when it comes to reporting telehealth visits and others that are not the traditional face-to-face office visit. There are numerous options when it comes to reporting visits that are not the traditional face-to-face office visit. This varies somewhat by payer, of course. Medicare has temporarily relaxed some of the geographic […]
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Telemedicine Reimbursement and Health Policy

Beyond the Pandemic: Telemedicine Reimbursement and Health Policy

Telemedicine reimbursement and other regulatory flexibilities enabled providers to quickly pivot operations for COVID-19, but temporary policies also poised the health policy landscape for significant change after the pandemic. In the wake of the first confirmed cases of COVID-19 in the US, policymakers quickly relaxed long-standing healthcare regulations, including telemedicine reimbursement and healthcare fraud prevention […]
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New CPT Code Expands COVID-19 Coding, Billing to Antigen Tests

New CPT Code Expands COVID-19 Coding, Billing to Antigen Tests

The AMA’s new Category I CPT code will allow for COVID-19 coding and billing of antigen tests performed on patients suspected of being infected by the novel coronavirus. The American Medical Association (AMA) recently updated Current Procedural Terminology (CPT) to enable proper COVID-19 coding and billing of antigen tests performed on patients suspected of being infected with […]
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