Cognitive Assessment: What’s in the Written Care Plan? Do you have a patient with a cognitive impairment? Medicare covers a separate visit for a cognitive assessment so you can more thoroughly evaluate cognitive function and help with care planning. Any clinician eligible to report evaluation and management services can...
Read moreBiden Administration Continues Efforts to Increase Vaccinations by Bolstering Payments for At-Home COVID-19 Vaccinations for Medicare Beneficiaries As part of President Biden’s commitment to increasing access to vaccinations, the Centers for Medicare & Medicaid Services (CMS) today announced an additional payment amount for administering in-home COVID-19 vaccinations to Medicare...
Read moreJerald White fills a gas container at a station in Morrow, Ga., on May 13, 2021, as demand for gasoline surged following a cyberattack on Colonial Pipeline. Photo for The Washington Post by Dustin Chambers SAN FRANCISCO — It can feel abstract: A group of organized but faceless...
Read moreHome Health LUPA Threshold: Bill Correctly In a recent report, the Office of Inspector General found that Medicare improperly paid some claims for home health services with 5 to 7 visits in a payment episode. Review the Medicare Home Health Benefit and Home Health Prospective Payment System booklets to...
Read moreMACs Resume Medical Review on a Post-payment Basis Beginning August 2020, Medicare Administrative Contractors (MACs) resumed post-payment reviews of items and services with dates of service before March 2020. MACs may now begin conducting post-payment medical reviews for later dates of service. The Targeted Probe and Educate program (intensive...
Read moreCritical Care Evaluation & Management Services: Comparative Billing Report in May In late May, CMS will issue a second letter in the Special Edition Comparative Billing Report (CBR) series on Part B claims for critical care evaluation & management services. Use the data-driven tables to compare your billing...
Read moreSave the Date! 2021 Home Health and Hospice Medicare Summit: 9/15, 9/16, and 9/17 Please plan on joining NGS, CGS & Palmetto GBA this year for a virtual Home Health and Hospice summit. The 2021 Home Health and Hospice Medicare Summit, Operation Collaboration: We Are All in This Together...
Read moreCOVID-19 Vaccine and Monoclonal Antibody Billing for Home Health and Hospice Providers This article will assist Medicare Home Health and Hospice providers with proper billing relating to COVID-19 vaccine and monoclonal antibody infusion. Beneficiary coinsurance and deductible are waived. How to Bill for COVID-19 Vaccines and Monoclonal Antibodies...
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