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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 |

Recent Posts


CMS Announces Final Payment Notice for 2021 Coverage Year

9 May, 2020 - 12:21 pm

he Centers for Medicare & Medicaid Services (CMS) today issued a final rule that continues the Trump Administration’s efforts to promote affordability, improve consumer choice, ensure program integrity, and increase market stability. In response to the coronavirus disease 2019 (COVID-19) pandemic, CMS is also announcing today a one week extension of the Qualified Health Plan (QHP) certification […]

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CMS Allows PTs in Private Practice to Provide Services Via Telehealth

9 May, 2020 - 12:08 pm

The Basics Physical therapists in private practice are eligible to bill Medicare for certain services provided via telehealth. [Editor’s Note: APTA is seeking confirmation as to whether services furnished by PTAs via telehealth are eligible for reimbursement.] Services that started as of March 1, 2020, and are provided for the duration of the public health […]

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CMS Reevaluates Accelerated Payment Program and Suspends Advance Payment Program

29 Apr, 2020 - 7:57 pm

Today, the Centers for Medicare & Medicaid Services (CMS) announced that it is reevaluating the amounts that will be paid under its Accelerated Payment Program and suspending its Advance Payment Program to Part B suppliers effective immediately. The agency made this announcement following the successful payment of over $100 billion to healthcare providers and suppliers […]

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Second phase of stimulus money- HHS started distribution

29 Apr, 2020 - 7:51 pm

The U.S. Department of Health and Human Services (HHS) has started distribution of the next $20 billion in financial relief for physician practices, groups and other health care delivery organizations that is part of the Coronavirus Aid, Relief and Economic Security (CARES) Act. The relief comes under the Public Health and Social Services Emergency Fund […]

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CMS Increases Medicare Payment for High-Production Coronavirus Lab Tests

15 Apr, 2020 - 8:38 pm

Medicare will pay the higher payment of $100 for COVID-19 clinical diagnostic lab tests making use of high-throughput technologies developed by the private sector that allow for increased testing capacity, faster results, and more effective means of combating the spread of the virus. High-throughput lab tests can process more than two hundred specimens a day using […]

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New official guidance on diagnoses from telehealth services for risk adjustment

15 Apr, 2020 - 8:28 pm

CMS has already expanded their coverage on Telehealth services due to COVID-19 emergency. The memo, entitled “Applicability of diagnoses from telehealth services for risk adjustment,” explains when MA organizations and other organizations may submit diagnoses from telehealth visits for risk adjusted payment. The memo was sent to organizations on Friday but has not yet been […]

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FCC Announces $200 Million for Telehealth Funding

13 Apr, 2020 - 8:11 pm

The Federal Communications Commission announced that its Wireline Competition Bureau will begin accepting applications for $200 million in funding through the COVID-19 Telehealth Program beginning on Monday, April 13, 2020 at 12:00 PM ET.   These funds, appropriated by the CARES Act (P.L. 116-136), will help healthcare providers purchase the connectivity and devices they need […]

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NCQA announces new HEDIS and CAHPS reporting policies

12 Apr, 2020 - 7:43 pm

NCQA said that it will not require MA health plans to submit their data for accreditation purposes now that the Centers for Medicare & Medicaid Services (CMS) has removed its requirement that MA plans submit 2020 HEDIS and CAHPS data for MY 2019.   Policy update for Commercial and Medicaid Accreditation and Reporting   NCQA is moving […]

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Upcoming HCC season will delay

12 Apr, 2020 - 7:35 pm

The Centers for Medicare & Medicaid Services (CMS) informed all Medicare Advantage organizations, Part D sponsors, Medicare-Medicaid plans, and programs that fall under the All-Inclusive Care for the Elderly (PACE) organizations that it is reprioritizing the audit activity due to the spread of the virus.   The March 30 memo stated that CMS would suspend Risk Adjustment […]

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UHC expanded the coverage for telehealth services

12 Apr, 2020 - 5:58 pm

Starting March 18, 2020, UnitedHealthcare expanded our policies around telehealth services for Medicare Advantage, Medicaid, and Individual and Group Market health plan members. In addition, effective from March 31, 2020 until June 18, 2020, we will also waive cost sharing for in-network telehealth visits for medical, outpatient behavioral and physical, occupational and speech therapy services (PT/OT/ST), […]

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