Claims Reimbursement

AHA Asks for Another $50B in Coronavirus Relief for Hospitals

by Jacqueline LaPointe

The American Hospital Association (AHA) is asking HHS to distribute another $50 billion in coronavirus relief funds as hospitals continue to feel the financial pressure of responding to COVID-19. For...

CMS Issues COVID-19 Billing Updates for Hospitals, Alternate Sites

by Jacqueline LaPointe

New and updated COVID-19 billing guidance from CMS aims to help hospitals and alternate care sites get paid for care rendered during the public health emergency. For more coronavirus updates, visit...

Latest Coronavirus Relief Bill Seeks Another $100B for Providers

by Jacqueline LaPointe

A new coronavirus relief bill is looking to give providers another $100 billion in grants for healthcare-related expenses and lost revenue directly attributable to the public health emergency resulting...

Senate Dems Want $100B Distributed Based on COVID-19 Hotspots

by Jacqueline LaPointe

Healthcare providers in COVID-19 hotspots should get the rest of the $100 billion in emergency funds from the Coronavirus Aid, Relief and Economic Security (CARES) Act, Democratic Senators recently...

Medicare Payment Doubles for High-Production Coronavirus Lab Tests

by Jacqueline LaPointe

CMS is nearly doubling Medicare payment for high-production coronavirus lab tests in efforts to boost COVID-19 testing capacity and monitoring in nursing home communities and other coronavirus...

Hospital Stimulus Funds to Pay for Uninsured COVID-19 Treatment

by Jacqueline LaPointe

Some of the $100 billion in coronavirus stimulus money earmarked for hospitals will pay for COVID-19 treatment of the uninsured, HHS Secretary Alex Azar recently announced. For more coronavirus...

How Much Will the COVID-19 Pandemic Cost Hospitals?

by Jacqueline LaPointe

Every day the number of confirmed COVID-19 cases rises, creating new challenges for the US healthcare system. Healthcare providers are scrambling to test and treat a sudden influx of patients...

CMS Offers Upfront Medicare Reimbursement During COVID-19 Pandemic

by Jacqueline LaPointe

More healthcare providers will be able to access advanced Medicare reimbursement during the COVID-19 pandemic as CMS expands the Accelerated and Advanced Payment Program. For more coronavirus updates,...

Documentation to Ease Medical Billing Issues Due to COVID-19

by Jacqueline LaPointe

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...

CMS Releases Medicare Reimbursement Details for COVID-19 Tests

by Jacqueline LaPointe

Following the development of new billing codes, CMS is now letting clinical laboratories know how much they will receive in Medicare reimbursement for testing patients for COVID-19. CMS emailed...

Out-of-Network Payment Cap Would Cut Hospital Spending by $124B

by Jacqueline LaPointe

Capping out-of-network payments to hospitals at 125 percent of Medicare rates could yield up to $124 billion in savings nationwide, making this a viable policy alternative to Medicare-for-All,...

No Reimbursement Impedes Social Determinants of Health Progress

by Jacqueline LaPointe

Hospitals are struggling to implement and sustain programs addressing social determinants of health without direct claims reimbursement, according to a recent survey of 200 healthcare experts. The...

Third of Execs Don’t Think Value-Based Payment Will Usurp FFS

by Jacqueline LaPointe

Value-based payment adoption has steadily increased, but a third of healthcare executives in a new survey do not believe the alternative payment mechanism will usurp fee-for-service. Fee-for-service...

CMS Develops New Billing Codes for Coronavirus Lab Tests

by Jacqueline LaPointe

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...

42% of Anesthesiologists Had Contracts Terminated in Last 6 Months

by Jacqueline LaPointe

Anesthesiologists are being forced out of network as private insurers terminate their physician contracts with little to no notice, according to a recent survey conducted by the American Society of...