START TYPING AND PRESS ENTER TO SEARCH

CMS Update: Telehealth Restrictions Lifted (03-17-20)

In response to the coronavirus public health emergency, CMS has broadened access to Medicare telehealth services.

Click here for the Medicare Telemedicine Health Care Provider Fact Sheet

Click here for the Medicare Telehealth Frequently Asked Questions (FAQs)

Points to Note:

  1. Practices may now render full E&M services to patients in areas where there is no shortage of providers (99211-215 with appropriate modifiers appended).

Read More

COVID-19 Billing: Telehealth and Other Communication-Based Technology Services

With the overload of information coming in regarding coronavirus, it can become difficult to keep abreast of the changes being made.

Here are some excerpts from the Medicare Fact Sheet on CMS coverage guidelines for telehealth services dated 03/05/2020:

Telehealth and Other Communication-Based Technology Services

Beneficiaries can communicate with their doctors or certain other practitioners without necessarily going to the doctor’s office in person for a full visit.

Read More

MACRA MIPS

CMS: 800,000 Physicians Exempted from MACRA MIPS Reporting

CMS seems to have done a complete turn-around since its 2016 release of mandating MACRA participation, especially for the Advanced Alternative Payment Models (APMs). As of this year, over 800,000 clinicians are not expected to comply with the MACRA MIPS reporting, which could have potentially saved them million in compliance costs.

Who are exempt,

Read More

Outpatient Practices

Outpatient Practices & The Fear Of RAC Audits

Ever since the RAC audit has been introduced, there is an element of fear amongst healthcare facilities with regards to the RAC program. Fuelled by rumors and myths, most of these fears have been proved to be baseless with the CMS (Centers for Medicare and Medicaid Services) addressing these fears through conferences, write-ups and articles.

Read More

MACRA

MACRA – What Is It All About?

April 28, 2016 witnessed the release of the proposed rule that is intended to guide the implementation of MACRA (Medicare Access and CHIP Reauthorization Act of 2015) which aims to reward clinicians and physicians engaging in activities that support and drive positive patient outcomes.  MACRA, once implemented in totality, will change the way physicians taking care of Medicare patients are paid by CMS.

Read More