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Pathology sees 9% cut in 2021 MPFS Final Rule

Pathology sees 9% cut in 2021 MPFS Final Rule

by Alex Mitchell | Dec 2, 2020 | Billing & CPT Codes, CMS Fee Schedules

After a lengthy delay, CMS released the 2021 Medicare Physician Fee Schedule Final Rule Tuesday. It finalizes several telehealth flexibilities introduced during the public health emergency while also significantly overhauling reimbursements for evaluation and...
CMS clarifies rules for U0005 COVID add-on payment

CMS clarifies rules for U0005 COVID add-on payment

by Alex Mitchell | Nov 10, 2020 | Revenue Cycle Management, Pathology Management, Billing & CPT Codes, Denial Management

When CMS announced its intent to reduce payments for high-throughput COVID-19 tests next year while offering providers a path to be made whole if they met new turnaround time targets, several questions arose concerning how the agency intended to monitor its new...
CMS clarifies monetary penalties for failing to report COVID-19 results

CMS clarifies monetary penalties for failing to report COVID-19 results

by Alex Mitchell | Aug 27, 2020 | Revenue Cycle Management, Pathology Management, Billing & CPT Codes

As part of a new interim rule issued to clarify COVID-19 data reporting requirements, CMS also outlined the monetary penalties entities that fail to do so may face. As part of the Interim Final Rule published Aug. 24, CMS stated that any healthcare facility (including...
Coding and billing COVID-19: A step-by-step guide

Coding and billing COVID-19: A step-by-step guide

by Alex Mitchell | Apr 22, 2020 | Revenue Cycle Management, Pathology Management, Billing & CPT Codes

As CMS and the AMA continue to develop new codes for performing and billing COVID-19 testing, we will work to update you with the latest information to ensure you’re being reimbursed properly during the ongoing public health emergency. RELATED: Covid Testing and...
HHS distributing stimulus payments to Medicare providers

HHS distributing stimulus payments to Medicare providers

by Alex Mitchell | Apr 13, 2020 | Pathology Management, Revenue Cycle Management

As part of $30 billion in relief funding approved under the CARES ACT, Medicare providers and facilities began receiving a direct deposit stimulus payments from the Department of Health and Human Services on Friday. The amount will be roughly one month of Medicare...
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