Category: Blog

Regulations on SNF Waivers and Telehealth

COVID-19 Impacts Regulations on SNF Waivers and Telehealth

As with last week, RACmonitor asked Dr. Ronald Hirsch, vice president of R1 RCM, to summarize the most pertinent regulatory changes recently arising. The following is a transcript of his reporting today on Monitor Mondays. “First, thank you, everyone, for continuing to care for patients and continuing to take this pandemic seriously,” Dr. Ronald Hirsch […]
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COVID 19 Has New Code

COVID 19 Has New Code in April

  Coordination and Maintenance committee meeting announces COVID 19 code effective April 1, 2020. The Coordination and Maintenance Committee Meeting announced that the COVID-19 code that was originally scheduled to become effective October 1, 2020 will now be effective April 1, 2020. The code that will be effective is U07.1.  The effective date was changed […]
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COVID-19 Is Upending the Revenue Cycle

3 Ways COVID-19 Is Upending the Revenue Cycle

The pandemic crisis is disrupting the revenue cycle, including the revenue ramifications of cancelling elective procedures. The global COVID-19 pandemic has sent the entire world into turmoil, including negatively affecting the U.S. economy, causing a ripple effect down to healthcare organization revenue cycles. Many elements of this crisis are already changing the revenue cycle, from […]
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Medical Billing Issues Due to COVID-19

Documentation to Ease Medical Billing Issues Due to COVID-19

A healthcare lawyer advises providers to thoroughly document care delivery to prevent medical billing and payment issues likely to arise from the COVID-19 pandemic. Clinical documentation is critical to serving patients with COVID-19, but also avoiding medical billing and payment issues in the months and years following the pandemic, according to healthcare lawyer Delphine O’Rourke. “There’s […]
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ICD-10-CM, New Lab Testing Codes for Covid-19

How to Use ICD-10-CM, New Lab Testing Codes for Covid-19

The introduction of 2019-nCoV Coronavirus, SARS-CoV-2/2019-nCoV (COVID-19) in the United States has produced an influx of patients into the health care system. While knowing how to diagnose and treat these patients is vital, being able to appropriately capture this information for data tracking and payment also is important. The National Center for Healthcare Statistics has […]
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Mastering Revenue Cycle Management

Mastering Revenue Cycle Management

Doctors are fond of complaining that they didn’t go to medical school in order to practice business, but independent physicians do spend much of their time on their practices’ finances. That requires mastering revenue cycle management (RCM), the financial process practices use to administer all the functions associated with claims processing, payment, and revenue generation. […]
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HIPAA Privacy Sanctions

HHS Waives Certain HIPAA Privacy Sanctions

Certain HIPAA sanctions and penalties are being waived for hospitals during the nationwide emergency concerning COVID-19. Which Privacy Rule Provisions Are Waived? Effective March 15, 2020, covered hospitals will not be held to comply with the following provisions of the HIPAA Privacy Rule: The requirements to obtain a patient’s agreement to speak with family members […]
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New CPT Code for Coronavirus Test

AMA Unveils New CPT Code for Coronavirus Test

The CPT Editorial Panel approved a new CPT code that will support data-driven resource and allocation planning during the novel coronavirus outbreak. The American Medical Association (AMA) recently announced that the CPT Editorial Panel approved a new Current Procedural Terminology (CPT) code for a novel coronavirus test. “In the face of the COVID-19 pandemic, the […]
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CMS Develops New Billing Codes for Coronavirus Lab Tests

Two HCPCS billing codes will allow clinical laboratories and other providers to bill for certain coronavirus lab tests and support testing and tracking of new cases. CMS recently announced the development of new billing codes for coronavirus lab tests that will enable clinical laboratories and other providers to receive reimbursement for supporting patients during the outbreak and […]
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