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Billing & collections

Reminder: 2022 MIPS data submission period ends March 31

March 8, 2023

MIPS Eligible clinicians can submit their 2022 data through March 31. The Centers for Medicare & Medicaid Services (CMS) has opened the data submission period for Merit-based Incentive Payment System (MIPS) eligible clinicians who participated in the 2022 performance year of the Quality Payment Program (QPP). Data can be submitted and updated until 8 p.m. ET March 31. How … [Read more...] about Reminder: 2022 MIPS data submission period ends March 31

Proposed rule would standardize how to send health care attachments

December 26, 2022

It might get easier for your medical office to send healthcare attachments and electronic signatures. The Centers for Medicare & Medicaid Services (CMS), has issued a proposed rule, “Adoption of Standards for Health Care Attachments Transactions and Electronic Signatures, and Modification to Referral Certification and Authorization Transaction Standard (CMS-0053-P).” If … [Read more...] about Proposed rule would standardize how to send health care attachments

Jan. 3 deadline for MIPS Extreme and Uncontrollable Circumstances application

December 16, 2022

The deadline to submit a MIPS EUC Exception application for the 2022 performance year is 8 p.m. ET on Jan. 3, 2023. If you believe you’ve been affected by an extreme and uncontrollable circumstance (such as the public health emergency triggered by the COVID-19 pandemic), you can apply whether reporting traditional MIPS or the APM Performance Pathway (APP). MIPS eligible … [Read more...] about Jan. 3 deadline for MIPS Extreme and Uncontrollable Circumstances application

CPT update for COVID-19 boosters adapted to omicron

September 7, 2022

The American Medical Association has announced an update to Current Procedural Terminology (CPT)®, that includes eight new codes for the bivalent COVID-19 vaccine booster doses from Moderna and Pfizer-BioNTech. The updated boosters are adapted for the BA.4 and BA.5 Omicron subvariants and the original coronavirus strain in a single dose. Four of the eight CPT codes (91312, … [Read more...] about CPT update for COVID-19 boosters adapted to omicron

Telehealth policy to change after the COVID-19 public health emergency

September 2, 2022

The COVID-19 public health emergency has been extended to Oct. 13. Of particular interest to medical practices is the continuation of telehealth flexibilities, which will expire at the end of the public health emergency. US Department of Health and Human Services Secretary Xavier Becerra officially renewed the declaration in mid-August. The emergency declaration has been in … [Read more...] about Telehealth policy to change after the COVID-19 public health emergency

Medicare covering OTC COVID-19 tests

April 5, 2022

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

AMA asks Congress to fix Medicare physician payment system

March 29, 2022

The American Medical Association (AMA) has warned congressional leaders that the Medicare Payment Advisory Commission (MedPAC) report sent to Congress in mid-March contains flawed analyses that would imperil patient access to high-quality care. The MedPAC report recommended a continuation of the freeze in Medicare physician fee payments but ignores a host of trailing … [Read more...] about AMA asks Congress to fix Medicare physician payment system

Learn about changes and updates to telehealth

March 25, 2022

There's a lot you need to know about telehealth. That's why Medical Office Manager is offering a webinar, Telehealth—What Managers Need to Know, on April 6. It's free to Medical Office Manager members. Presenter Jen Bell of Karen Zupko and Associates will give you the tools and knowledge you need to comply with new telehealth regulations. Meanwhile here is Jen's update on … [Read more...] about Learn about changes and updates to telehealth

What managers need to know as telehealth flexibilities carry on

March 24, 2022

Telehealth rules that were loosened during the pandemic are likely to stay that way for awhile. President Biden signed the Consolidated Appropriations Act of 2022 into law last week. Included in the law is an extension to some telehealth flexibilities for an additional five months (151 days) after the end of the current public health emergency (PHE). Flexibilities that will be … [Read more...] about What managers need to know as telehealth flexibilities carry on

Newly proposed Medicare Part B Physician Fee Schedule contemplates Making COVID-19 telehealth changes permanent

July 22, 2021

On July 13, 2021, CMS published its proposed physician fee schedule rule for FY 2022. One of the key items is the proposal to make the temporary change allowing Medicare providers to deliver healthcare services via telehealth a permanent part of Medicare Part B. The Proposed Medicare Changes During the public health emergency (PHE), Congress added the home of the beneficiary … [Read more...] about Newly proposed Medicare Part B Physician Fee Schedule contemplates Making COVID-19 telehealth changes permanent

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