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Reporting from the front lines: Revenue under fire, staffing cut and, yes, toilet paper stolen

04/06/2020

From a neurology practice in Florida to a university heath system in Alabama, take an intimate look – directly from providers’ perspectives – at how life has changed for frontline medical groups in the struggle against the pandemic.

Billing telehealth under COVID-19 rules? Use POS 02, document need, watch payer shifts

03/30/2020

by: Roy Edroso

You may be gearing up to offer patients telehealth services during the COVID-19 emergency since CMS waived the originating site requirements. If so, you may not be familiar with the requirements – and many of them have changed in the past few weeks. Make sure you code and document these claims so that they’ll be accepted, and watch out for private payers who haven’t adopted CMS’ waiver yet.

After CMS issues telehealth waiver, know what’s changed — and what hasn’t

03/30/2020

by: James Dresbach

As telehealth allowances and guidance move with unprecedented speed, health care providers need to know what is covered by Medicare as cases increase in the COVID-19 battle.

Info blocking part of interoperability could bite you; note exceptions, document

03/30/2020

by: Roy Edroso

While two recent interoperability final rules mostly apply to health IT people, the information blocking part of the rule from the Office of the National Coordinator of Health Information Technology (ONC) will directly impact your practice’s requirements when patients ask to have their data forwarded or connected via an app. Start planning for the switchover now.

Old telehealth codes hanging in and even growing — though denials remain high

03/30/2020

by: Roy Edroso

In its quest to provide more remote services, CMS has come up with some new online codes in the past year but still pays for several older codes specifically geared to teleheath. These older codes don’t get much use, but their utilization is growing Ñ steadily and at a faster rate than their denials.

As Senate mulls bill, employers brace for paid leave brought on by coronavirus

03/23/2020

by: Tammy Binford

Just as employers were taking a look at a bill in Congress aimed at providing paid leave for employees affected by the COVID-19 pandemic, the House-passed legislation took on changes in the Senate. As of early March 17, no Senate vote had been scheduled.

CMS breaks telehealth barriers for COVID-19: Home visits allowed, no co-pays

03/23/2020

by: Richard Scott

You’ll find immediate opportunity to provide virtual visits to patients enrolled in Medicare and Medicare Advantage plans as CMS seeks to facilitate screening and treatment of novel coronavirus (COVID-19) cases.

Amid supply shortages and growing cases, try test alternatives and hold your bills

03/23/2020

by: Roy Edroso

Look for alternatives to test referrals for COVID-19, and don’t delay treatment if the government is late in making plans. You may, however, want to hold your bills until payment streams become clear.

As Senate mulls bill, employers brace for paid leave brought on by coronavirus

03/23/2020

by: Tammy Binford

Just as employers were taking a look at a bill in Congress aimed at providing paid leave for employees affected by the COVID-19 pandemic, the House-passed legislation took on changes in the Senate.

Congress scales down coronavirus paid leave bill, but expect more developments

03/23/2020

by: Tammy Binford

Changes in the plan to offer relief to workers affected by the spread of coronavirus/COVID-19 have come fast and furious, but the House and Senate appear to have settled on revisions that mean at least some employers will have to provide paid leave to at least some employees.

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