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Fallout from the Change Healthcare hack continues. 
Check your payments for telehealth services reported with place of service 10 (Telehealth provided in patient’s home) after Jan. 1, 2024. If your MAC paid the facility rate that’s a big mistake.
A tough new policy for trigger point injections (20552-20553) will soon hit 38 states. Practices that don’t prepare will trigger denials that can’t be cured with an appeal.
Practices that perform trigger point injections (20552-20553) should read Noridian’s proposed local coverage determination (LCD) for the service. The LCD could be the model for a uniform LCD that several Medicare administrative contractors (MAC) adopt.
Since CMS expanded the Accelerated and Advanced Payment (APP) program in late March, the agency has approved the release of nearly $34 billion to health care providers seeking a financial salve during the COVID-19 public health emergency (PHE).
Now you'll find clearer guidance from Medicare administrative contractors (MAC) that are coordinating the regional relief efforts.


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