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Latest News

OIG Collects $132,500 in Overpayments

Author: Michael Tidd LVN, HCS-D, COS-C The Department of Health and Human Services Office of Inspector General (OIG) has announced audit results of a home health agency.  The OIG audited 100 claims submitted and paid by CMS between 2016 and 2017.  The audit focused on ambulation, homebound and medical...

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COVID-19 Vaccine Codes: EUA for Janssen Biotech

On February 27, 2021, the U.S. Food and Drug Administration issued an Emergency Use Authorization (EUA) for the Janssen Biotech Inc.’s COVID‑19 Vaccine for the prevention of COVID-19 for individuals 18 years of age and older. Review Janssen’s Fact Sheet for Healthcare Providers Administering Vaccine (Vaccination Providers) regarding the limitations of authorized use....

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CMS Takes Further Steps to Ensure Medicare Beneficiaries Have Wide Access to COVID-19 Antibody Treatment

The U.S. Food and Drug Administration issued an Emergency Use Authorization (EUA) for the investigational monoclonal antibody therapy, bamlanivimab and etesevimab, administered together, for the treatment of mild-to-moderate COVID-19 in adults and pediatric patients with positive COVID-19 test results who are at high risk for progressing to severe COVID-19...

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HHS Proposes Changes To The HIPAA Regulations

On January 21, 2021 the Office of Civil Rights (OCR) of the Department of Health & Human Services (HHS) issued proposed changes to the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule to support individuals’ engagement in their care, remove barriers to coordinated care, and reduce regulatory burdens on the...

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PFS Payment for Office & Outpatient E/M Visits

Effective January 1, for Physician Fee Schedule (PFS) payment of office and outpatient Evaluation and Management (E/M) visits (CPT codes 99201 through 99215), Medicare generally adopted the new AMA coding, language, and interpretive guidance framework. See the fact sheet (PDF) for more information, including: PFS payment of Medicare’s add-on codes for prolonged...

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Improving Accuracy of Medicare Payments

The U.S. Bureau of Labor Statistics (BLS) conducts numerous surveys of hospitals and health care providers that are used by the government to make economic decisions that affect the entire medical care system. Key users include CMS, the Federal Reserve Bank, and the U.S. Congress.  CMS uses these surveys...

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COVID-19 Vaccination FAQs for Employees and Employers

Reference these documents below as you navigate COVID-19 vaccination guidelines. Covid-19 Vaccination FAQs for Employers Covid-19 Vaccination FAQs for Employees   Related links: Covid-19 Related Products Latest News Information provided by CHAP (Community Health Accreditation Partner) on January 26, 2021

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