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Therapy Payment Reduction - Effective January 1, 2022
As you are probably aware, the mandatory payment reduction for some physical and occupational therapy services is effective January 1, 2022....December 10, 2021
Hot off the Presses: PHE Renewed for Another 90 Days!
Health and Human Services Secretary Xavier Becerra, announced that he has renewed the COVID-19 Public Health Emergency declaration....October 18, 2021
Acevedo Consulting's Response to Medicare's Proposed 2022 Medicare Physician Fee Schedule Rule
By now I'm sure that you are aware the proposed 2022 Medicare Physician Fee Schedule rule is out for comment....September 2, 2021
Read this if you Order, Refer or Prescribe for Patients with Medicaid
However, if you treat patients with Medicaid (even as self pay), they most likely expect Medicaid to pay for items and services you order for them...August 27, 2021
Hot off the presses: PHE renewed for another 90 days!
Health and Human Services Secretary Xavier Becerra, announced that he has renewed the COVID-19 Public Health Emergency declaration...July 20, 2021
National Initiatives to Expand Telehealth
If you read the CCHP’s email accessible in the link below, you’ll see that there are a few bills in the Congress that would have a positive impact on you being able to continue to provide services to your patients via telehealth...June 29, 2021
Modifiers JA and JB Required for IV Administration of SAD Listed Drugs
There was an update to the Self-Administered Drug Exclusion List (SAD) effective April 5, 2021 that is important for providers to be aware of.....May 12, 2021
Hot off the presses: PHE renewed for another 90 days!
Health and Human Services Secretary Xavier Becerra, announced that he has renewed the COVID-19 Public Health Emergency declaration....April 19, 2021
Read this if you Order/Refer Anything for Patients with Medicaid
"But I don't accept Medicaid" you may say, however, if you have a patient that has Medicaid or a Medicaid Advantage Plan that would normally cover the ordered item....April 15, 2021
CMS Instructs all Medicare Administrative Contractors (MACs) to Hold Claims
The Senate passed legislation last week to extend the pause on CMS' 2% sequestration reduction through December 31, 2021.....March 31, 2021
Christmas in Medicare World: Trigger Point Injection Audits
NGS has announced a post payment audit for trigger point injections (CPT 20552 and 20553) for the states of New York, Connecticut, Massachusetts, Rhode Island, Vermont, Maine and New Hampshire.....January 5, 2021
Update: G2211 on Hold
As part of the COVID relief bill passed in Washington and signed over the weekend by the President, implementation of the complexity add-on code (G2211) has been suspended for 3 years....December 29, 2020
COVID Accelerated/Advance Payment Revised Repayment Terms
We would like to share some good news for providers who requested and received Medicare advanced payments...October 7, 2020
Hot off the presses: PHE renewed again for another 90 days!
Health and Human Services Secretary Alex Azar announced that he had renewed the COVID-19 Public Health Emergency declaration. ...October 6, 2020
New! Provider Reimbursement for Counseling Patients to Self-Isolate at Time of COVID-19 Testing
In an effort to further encourage physicians and non physician practitioners to counsel patients who are undergoing COVID-19 testing on what they should do while waiting for results (e.g., self-isolation, signs & symptoms to be on the alert for, etc.)...July 30, 2020
PHE Renewed for Another 90 Days
Many of you have asked and wondered if the Public Health Emergency (PHE) order will expire today...July 24, 2020
Medicare Audits will Resume August 3rd
Other than what the fraud contractors continued to do, “routine” Medicare audits hit a pause button during the COVID-19 public health emergency...July 21, 2020
Capture payments for Uninsured COVID Patients, But Act Fast to Get a Slice
In addition to the first two rounds of Provider Relief Fund allocations, there is additional funding to help reimburse providers who have cared for the uninsured with COVID-19... June 29, 2020
June 3rd Deadline for Round 2 of the $100B Provider Relief Fund
When the 1st phase of Provider Relief Fund money went out in April, the amount received was based on 2019 Medicare reimbursement. For some, Medicare is the major payer but for others, this is not the case... May 26, 2020
Medicare Coverage and Payment of Virtual Services
CMS' video will provide you with answers to common questions about the expanded Medicare telehealth services benefit under the 1135 waiver authority and Coronavirus Preparedness and Response Supplemental Appropriations Act.
Health Insurance Providers Respond to Coronavirus (COVID-19)
Many of you has asked if we know if a particular managed care plan or commercial insurance is covering telehealth, waiving patient co-pays, or even making emergency advance payments. To help you find the answer for the plans most important to your practice/organization, you may want to take advantage of the AHIP’s (America’s Health Insurance Plans) website... May 6, 2020
Medicare to Implement Prior Authorization Process July 1, 2020
Medicare is implementing a prior authorization process for certain procedures performed in the outpatient hospital or ambulatory surgery center... April 29, 2020
Provider Relief Fund Dilemma: Keep the Money or Send it Back
Providers have been receiving unsolicited funds due to the CARES Act’s Provider Relief Fund. While at first this has brought the intended sigh of relief, once the recipients read the Terms and Conditions that they must attest to, in many cases that sigh has turned into hesitation as to whether they should keep the money... April 21, 2020
CARES Act Provider Relief Fund Explained
Are You Suddenly Finding Extra Money Marked as “HHSPAYMENT” in Your Business Checking Account?... April 13, 2020
Medicare FFS Claims: 2% Payment Adjustment Suspended (Sequestration)
Section 3709 of the Coronavirus Aid, Relief, and Economic Security (CARES) Act temporarily suspends the 2% payment adjustment currently applied to all Medicare Fee-For-Service (FFS) claims due to sequestration... April 10, 2020
Alert: Individual Posing as OCR Investigator
Acevedo Consulting received information from the Office of Civil Rights (OCR) that an individual posing as an OCR Investigator has contacted HIPAA covered entities in an attempt to obtain protected health information (PHI)... April 6, 2020
Expansion of Medicare's Accelerated and Advance Payments Program
In order to increase cash flow to providers of services and suppliers impacted by the 2019 Novel Coronavirus (COVID-19) pandemic, the Centers for Medicare & Medicaid Services (CMS) has expanded their current Accelerated and Advance Payment Program to a broader group of Medicare Part A providers and Part B suppliers.... March 30, 2020
MIPS Update
CMS Announces Relief for Clinicians, Providers, Hospitals and Facilities Participating in Quality Reporting Programs in Response to COVID-19 ... March 30, 2020
Telehealth: An Update
Due to the President's declaration of a State of Emergency, and as part of the Coronavirus Preparedness Act, there has been a revision for Medicare Patients that allows a Physician/ Non-Physician Practitioner to use his/her telephone if the phone allows the doctor and patient to see each other in real time (i.e. Skype for Business) for the provision of Telemedicine/Telehealth. ...March 17, 2020
Additional Code for Coronavirus Lab Tests Developed
CMS has published new codes as well as billing and coverage guidelines for patients being tested or treated for the coronavirus... March 6, 2020
The Time to Submit 2019 MIPS Data is Now!
The Performance Year 2019 Submission Window is Open... February 11, 2020
Medicare Billing Requirements for Therapy
After conducting several audits, the Office of Inspector General (OIG) determined that payments for physical therapy services did not comply with Medicare billing requirements... February 11, 2020
The MIPS 2019 Data Submission Period is Now Open
MIPS Eligible Clinicians Can Start Submitting Data for 2019 through March 31, 2020... January 7, 2020
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