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All posts by John Aldover

CMS released the 2023 HH Payment Proposed Rule

On Friday June 17, CMS released the unpublished version of the 2023 Home Health Payment Proposed Rule.  This rule contains significant changes that will affect agencies and it is strongly suggested that agencies comment on the rule.  Three main areas of significance are mention below. A net NEGATIVE payment...

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CMS Issues Addition Guidance on Emergency Preparedness Testing

CMS Issues Addition Guidance on Emergency Preparedness Testing The Quality, Safety & Oversight (QSO) Group at the Centers for Medicare & Medicaid Services (CMS) has issued a revised QSO -20-41-All memo to provide additional guidance and clarifications on the emergency preparedness standard for testing requirements due to the ongoing...

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Biosimilars: Interchangeable Products May Increase Patient Access

Biosimilars: Interchangeable Products May Increase Patient Access Depending on state pharmacy laws, you may substitute an interchangeable biosimilar product at the pharmacy, much like substituting a generic for a brand-name drug. This helps increase patient access to biologics and may reduce patient costs. Learn more about Interchangeable Biological Products from the...

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Patient Eligibility Information for Additional Services — Now Available

Patient Eligibility Information for Additional Services — Now Available You can now check eligibility (PDF) for these Medicare-covered services: Flu shots provided in the last 18 months Pneumococcal shots (HCPCS codes 90671 and 90677; eligibility information is already available for 90670 and 90732) Cognitive Assessment & Care Plan Services (CPT 99483) Colorectal cancer screening —...

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COVID-19: New Codes for Moderna Vaccine Booster Doses

COVID-19: New Codes for Moderna Vaccine Booster Doses On March 29, 2022, the FDA amended the Moderna COVID-19 vaccine emergency use authorization (PDF), including new packaging for vaccine boosters (blue cap). CMS issued new codes, effective March 29, 2022, for the vaccine booster and administration: Code: 91309 Long descriptor: Severe acute...

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