Provider Relief Fund Deadline Extended for Medicaid Providers
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 Resumes RAC Audits, Other Medical Review Activities
CMS recently resumed medical review activities, including pre- and post-payment reviews conducted by Medicare Administrative Contractors (MACs) and Recovery Audit Contractors (RACs), which were paused...Hospitals Lose Case Challenging 340B Hospital Payment Reduction
An appeals court recently ruled against hospital groups seeking to block a nearly 30 percent reduction in 340B hospital payments to hospitals participating in the federal drug discount program. The...CMS Pays for Coronavirus Counseling, Other COVID-19 Billing Updates
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
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
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...AHA, AAMC Want Rehearing for Hospital Site-Neutral Payment Case
The fight against site-neutral payments for hospital outpatient services is not over for two industry groups. The American Hospital Association (AHA) and the Association of American Medical Colleges...Medical Billing Mistakes for Malnutrition Led to $1B in Overpayments
CMS should recoup the portion of nearly $1 billion that was incorrectly paid to hospitals because of medical billing and coding errors involving severe malnutrition diagnosis codes, HHS’ Office...Estimate Shows Uninsured Population Rising by 2.9M By End of 2020
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...CMS to Assess Telehealth Reimbursement Rates Post-Pandemic
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...Hospital Exec, Others Charged in $1.4B Rural Hospital Fraud Scheme
The Justice Department has charged ten individuals, including a hospital executive, for their participation in a rural hospital fraud scheme that cheated $1.4 billion out of private insurance companies...TX Hospitals to Receive $1B Boost in Medicaid Reimbursement
The gap between what hospitals actually spend to treat Medicaid patients and the Medicaid reimbursement amount for that care will get about $1 billion smaller in 2021. Texas Governor Greg Abbott...98% of Eligible Clinicians Avoided a MIPS Penalty in 2018
About 98 percent of eligible clinicians avoided a penalty under the Merit-Based Incentive Payment System (MIPS) in 2018, and almost all of these clinicians earned a positive payment adjustment, CMS...Telehealth Billing Increased 8,336% from April 2019 to April 2020
Telehealth billing continued to surge amid the COVID-19 pandemic, with telehealth claim lines increasing by 8,336 percent in April 2020, according to a new FAIR Health data. New data from FAIR...Sponsored by XIFIN
