Biden-Harris Administration to Expand Vaccination Requirements for Health Care Settings New action will protect patients of the 50,000 providers and over 17 million health care workers in Medicare and Medicaid certified facilities The Biden-Harris Administration will require COVID-19 vaccination of staff within all Medicare and Medicaid-certified facilities to protect both them...
Read moreCMS Resumes Targeted Probe & Educate NAHC urges CMS to suspend TPE until the public health emergency ends The Centers for Medicare & Medicaid Services (CMS) indicated in an August 2021 MLNConnects newsletter that it will resume the targeted probe and educate (TPE) program that was suspended in March...
Read moreCMS Expands Medicare Payments for At-Home COVID-19 Vaccinations As part of the Biden-Harris Administration’s ongoing commitment to increasing access to vaccinations and improving health equity, the Centers for Medicare & Medicaid Services (CMS) is expanding opportunities for people to receive COVID-19 vaccinations in their home. To ensure Medicare beneficiaries...
Read moreCOVID-19 Vaccines Additional Doses: Codes & Payment The FDA amended the emergency use authorizations (EUAs) for both the Pfizer BioNTech COVID-19 vaccine (PDF) and the Moderna COVID-19 vaccine (PDF) to allow for an additional dose in certain immunocompromised people. Effective August 12, 2021, CMS will pay to administer additional doses of COVID-19 vaccines...
Read moreCOVID-19: EUA for Tocilizumab Monoclonal Antibody Product On June 24, the FDA released an Emergency Use Authorization (EUA) for tocilizumab, a COVID-19 monoclonal antibody product. CMS created new HCPCS codes, effective June 24, for tocilizumab and to administer it in the inpatient setting. Q0249: Long descriptor: Injection, tocilizumab, for...
Read moreCMS Proposes Rule to Increase Price Transparency, Access to Care, Safety & Health Equity CMS is proposing actions to address the health equity gap, ensure consumers have the information they need to make fully informed decisions regarding their health care, improve emergency care access in rural communities,�and use lessons...
Read moreCMS updated FAQs (PDF) about repayment of COVID-19 accelerated and advance payments. If you got these payments, learn more about how recoupment works and how it affects your Medicare claims payment amounts. Article published by CMS on July 8, 2021 CLICK HERE to read original post
Read moreCognitive 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...
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