Coronavirus

CMS Updates Medicare Billing Rules for 20% Add-On COVID-19 Payment

by Jacqueline LaPointe

Claims eligible for the 20 percent add-on payment for COVID-19 hospitalizations will now have to have a positive laboratory test documented in the patient’s medical record, according to recent...

CMS Doles Out $15M in Fines to Nursing Homes During COVID-19

by Jacqueline LaPointe

CMS recently announced that more than 3,400 nursing homes were fined because of noncompliance with infection control requirements and failure to report COVID-19 data during the public health...

AMA Announces New CPT Codes for Coronavirus Testing

by Jacqueline LaPointe

The American Medical Association (AMA) recently expanded its Current Procedural Terminology (CPT) code set to include four new CPT codes for coronavirus testing, according to a special coding guidance...

AHA Wants More Payback Options for Accelerated Medicare Payments

by Jacqueline LaPointe

The American Hospital Association (AHA) is calling on CMS to reconsider repayment options for hospitals that accepted accelerated Medicare payments at the start of the COVID-19 pandemic. For more...

Medicaid Enrollment Grew by 2.3M People at Start of the Pandemic

by Jacqueline LaPointe

In the first several months of the COVID-19 pandemic, Medicaid enrollment increased by at least 2.3 million Americans, according to researchers from the University of Minnesota. For more coronavirus...

Providers Fear Growing Uninsured Rate to Keep Patient Volumes Down

by Jacqueline LaPointe

While many providers are starting to see their patient volume levels return to pre-pandemic levels, most physicians and advanced practice providers are still concerned about the effect COVID-19 will...

Surprise Billing Action Needed, But Hospitals Urge Congress to Wait

by Jacqueline LaPointe

Lawmakers are focused on addressing surprise billing through federal legislation, but providers do not want the next coronavirus stimulus package to prohibit the practice that can cost patients...

Provider Relief Fund Deadline Extended for Medicaid Providers

by Jacqueline LaPointe

HHS recently announced that it extended the deadline for Medicaid providers and plans to apply for $15 billion in Phase 2 general distribution payments from the Provider Relief Fund. For more...

CMS Pays for Coronavirus Counseling, Other COVID-19 Billing Updates

by Jacqueline LaPointe

Provider reimbursement is now available to physicians who tell their patients to self-isolate at the time of COVID-19 testing, according to CMS. For more coronavirus updates, visit our resource...

In the Final Hours, Providers Prepare for Repayment of Medicare Loans

by Jacqueline LaPointe

The clock has run out for many providers who accepted advanced payments from Medicare at the start of the COVID-19 pandemic. For more coronavirus updates, visit our resource page, updated twice...

Medicare Payments Top $2.8B for COVID-19 Hospitalizations, So Far

by Jacqueline LaPointe

So far this year, Medicare payments for fee-for-service COVID-19 hospitalizations has totaled $2.8 billion, according to updated data from CMS. For more coronavirus updates, visit our resource...

HHS Extends Public Health Emergency, COVID-19 Payment Flexibility

by Jacqueline LaPointe

HHS recently extended the national public health emergency declared for the COVID-19 pandemic, thereby extending COVID-19 payment and regulatory flexibilities granted during the period. For more...

HHS Provides More Details on Provider Relief Fund Reporting

by Jacqueline LaPointe

HHS recently shared additional information on Provider Relief Fund reporting requirements for healthcare organizations that received financial support under the Coronavirus Aid, Relief, and Economic...

Healthcare Revenue Cycle Recovery After the COVID-19 Pandemic

by Jacqueline LaPointe

Halfway through 2020, hospitals have been doing the unimaginable. Patients have been asked to avoid healthcare facilities when possible, while more visits have been done via smartphones and laptops than in exam rooms. Meanwhile, some...

New Physician Compensation, Recruitment Take a Hit During Pandemic

by Jacqueline LaPointe

The physician market has become more competitive as a result of the COVID-19 pandemic, which may lead to new physician compensation reductions and incentives, at least temporarily, according to a new...

Half of Hospitals to Operate in the Red By Year’s End

by Jacqueline LaPointe

Hospitals typically operate on thin margins but the COVID-19 pandemic will likely sink those margins, pushing half of all US hospitals in the red through the second half of 2020, according to a new...

Estimate Shows Uninsured Population Rising by 2.9M By End of 2020

by Jacqueline LaPointe

Approximately 31.5 million individuals will be uninsured by the end of the year, largely stemming from job losses related to the COVID-19 pandemic, according to new estimates from the Urban...

COVID-19 Test Prices Set by Hospitals Range from $20 to $850

by Jacqueline LaPointe

COVID-19 test prices significantly varied by hospital, with some facilities charging as little as $20 for the diagnostic test, while others charged as much as $850, according to a recent Peterson-KFF...

CMS to Assess Telehealth Reimbursement Rates Post-Pandemic

by Jacqueline LaPointe

Telehealth reimbursement rates is one area CMS is assessing in order to make Medicare telehealth expansions permanent after the COVID-19 pandemic, according to the agency’s administrator. For...