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Flash News:

CMS Announces Final Payment Notice for 2021 Coverage Year | CMS Allows PTs in Private Practice to Provide Services Via Telehealth | Second phase of stimulus money- HHS started distribution | CMS Increases Medicare Payment for High-Production Coronavirus Lab Tests | New official guidance on diagnoses from telehealth services for risk adjustment just released | HHS started distributing $30 billion of the relief funds to healthcare providers today | CMS Removes Noninvasive Ventilators from Competitive Bidding | US Covid-19 deaths may be 60,000, half of projections, says NIAID chief Fauci | Trump: more than 2 million COVID-19 tests conducted in United States | AMA offers new financial and employment resources for physicians |

Billing News

New Stark Waivers and More Flexibility to Health Care Providers by CMS

Hospitals and other health care providers can receive doctors’ services or rent equipment (or vice versa) by paying above or below fair market value. For instance, a practicing doctor can willingly rent or sell any necessary equipment to a hospital at a cheaper price than the usual rates. Similarly, a hospital can provide space in […]


Changes in NCDs for respiratory devices

Maximum flexibility in determining the needs of patients for respiratory related devices and equipment and the flexibility for more number of patients for home treatments have been provided for clinicians. The current NCDs and LCDs that restrict coverage of these devices and services to patients with certain clinical characteristics do not apply during the public […]


CMS Signature Requirements- New Guideline

CMS is waiving signature and proof of delivery requirements for Part B drugs and Durable Medical Equipment when a signature cannot be obtained because of the inability to collect signatures. Suppliers should document in the medical record the appropriate date of delivery and that a signature was not able to be obtained because of COVID-19.


New Guideline for Group Practices on scan/lab services

Hospitals are under more pressure than ever to reduce costs. A recent Kaufman Hall analysis of about 800 hospitals found a 21.3% decline in operating margins


Changes to MIPS

se in EBITDA operating margins between November 2018 and the same month in 2019. While the results varied regionally, the message was clear — many hospital decision-makers