Category: Blog

Quality Payment Program In Clinical Trials

Coronavirus: CMS Urges Use Of Quality Payment Program In Clinical Trials

The Centers for Medicare & Medicaid Services (CMS) is pushing clinicians to participate in the Quality Payment Program to contribute scientific research and evidence to aid in the fight against the COVID-19 coronavirus pandemic. According to a news release, those who participate in COVID-19 clinical trials and report information may now earn credit in the Merit-based […]
CMS Medicare Payment and Policy Changes

CMS Medicare Payment and Policy Changes for FY 2021

The Centers for Medicare and Medicaid (CMS) issued proposed rules updating payment rates and policies for Skilled Nursing Facilities (SNF), Inpatient Psychiatric Facilities (IPF), and Hospices. CMS will accept comments on these rules until June 9, 2020. CMS issued these proposed rules in accordance with its legal obligation to update Medicare payment policies annually rather […]
Coding High-Throughput COVID-19 Testing

Coding High-Throughput COVID-19 Testing

The Centers for Medicare & Medicaid Services (CMS) created two new HCPCS Level II codes for lab tests that use high-throughput technologies to detect SARS-CoV-2, the virus that causes COVID-19. The rate for these codes is $100, roughly twice the rate of similar tests that don’t use high-throughput technologies. Consider New Codes in Place of […]
Two New CPT Codes Effective Immediately

News Alert: Two New CPT Codes Effective Immediately

Reimbursement details have not yet been established. The American Medical Association (AMA) CPT® Editorial Panel has made adjustments to one code and introduced two new codes to enhance the specificity of serology laboratory testing. These codes, released on April 10, are immediately applicable. Reimbursement arrangements for the Centers for Medicare & Medicaid Services (CMS) are […]
New COVID-19 Testing Codes

New COVID-19 Testing Codes

During an emergency meeting in response to the COVID-19 crisis, the American Medical Association (AMA) convened the CPT  Editorial Panel to approve a new pair of Category 1 CPT codes. These two new codes are effective immediately, according to the AMA. “The new codes are intended for use as the industry standard for accurate reporting and […]
New CPT Resources Help Doctors

New CPT Resources Help Doctors Adapt to Shifting COVID-19 Demands

The COVID-19 pandemic has forced rapid changes on the way physician practices operate. To help doctors navigate the shifting landscape, the AMA has released guidance on issues related to the pandemic, including new Medicare policies, answers to patient concerns and, most recently, advice on coding for COVID-19 testing, treatment and telemedicine services. Resources include authoritative […]