CMS has released Medicare billing codes for a new COVID-19 antibody drug recently approved by the FDA.
Healthcare providers are now able to use the Healthcare Common Procedural Coding System (HCPCS)...
Healthcare policies designed to boost competition between hospital outpatient departments and physician offices could actually end up harming hospitals during one of the worst financial crises to hit...
Come January 1, 2021, CMS will implement 21 new ICD-10 procedure codes for COVID-19 vaccines and therapeutics for the novel coronavirus, including baricitinib and monoclonal antibody treatments.
The...
Aggressive corrective actions aimed at reducing Medicare fee-for-service (FFS) improper payments have resulted in less healthcare fraud, waste, and abuse, as well as $15 billion in savings, according...
Just a day after the FDA approved the emergency use of a new COVID-19 antibody drug, CMS updated Medicare payment and billing policies to ensure providers have access to the new treatment for...
Providing affordable health insurance coverage is a top goal for physicians and most believe healthcare can achieve that through a single-payer option, a new survey reveals.
The final installment of...
CMS has finalized a 1.9 percent, or $390 million, increase in Medicare home health reimbursement in 2021.
The boost in reimbursement is significantly less than the 2.6 percent increase proposed by CMS...
New and innovative home dialysis machines will soon qualify for additional Medicare reimbursement, according to the latest End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) final...
A new interim final rule with comment period ensures Medicare reimbursement for the administration of a COVID-19 vaccine and provider use of innovative treatments for the novel coronavirus.
The rule...
A new proposed rule from CMS is seeking to streamline how the agency determines if durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) qualify for Medicare reimbursement and...
According to the American Hospital Association (AHA), an appeals court has declined to reconsider two decisions from the summer, which upheld Medicare reimbursement cuts for 340B drugs and for...
Hospitals could see admissions fall 10 percent below projections for 2020 even though stays and other types of services have rebounded compared to earlier this year, a new report from Kaiser Family...
CMS will reduce the base Medicare reimbursement rate for COVID-19 tests done by laboratories using high throughput technology, according to a new announcement.
The announcement made late last week...
CMS recently added 11 new services to the Medicare telehealth services list, qualifying the services for Medicare reimbursement through the COVID-19 public health emergency (PHE). The new telehealth...
A program designed to offset the costs of uninsured COVID-19 patients during the public health emergency has paid out limited reimbursement to providers, according to a recent report from the Kaiser...
While some have said medical coding sits quietly in the middle of the healthcare revenue cycle, it is a key step that, when done inadequately, can impact each part of the revenue cycle after it....
In response to the COVID-19 pandemic, the American Medical Association (AMA) is adding two new codes to the Current Procedural Terminology (CPT) code set. The codes are for multi-virus tests that...
Prescription drug prices are contributing to high US healthcare spending, but are not the top driver of costs, according to a recent analysis from the Peterson-KFF Health System Tracker.
The analysis...
A continuing resolution signed by President Trump early Thursday morning included key healthcare provisions, including an extension for providers who had their Medicare payments advanced during the...
Providers are increasingly using chronic care management (CCM) codes to address care fragmentation issues for patients with multiple chronic conditions. However, utilization patterns among...
