Part B News | Editors' Blog

Medicare's revised telehealth list reflects PHE waiver extensions

by: Julia Kyles, CPC Feb 20, 2023

Use Medicare's streamlined telehealth list to plan your practice's telehealth offerings in 2023.

E/M update includes review warning for time, no help for split/shared billing

by: Julia Kyles, CPC Feb 9, 2023

You’ll find Medicare's new and revised rules for hospital visits, nursing facility visits, prolonged services and split/shared visits in CMS 100-04, Change Request 13064, released February 9. The update includes more information on documenting time-based visits but is silent on component-based split/shared billing.

CMS posts new +2.4% conversion factor for 2023 Medicare fees

by: Richard Scott Jan 9, 2023

On the heels of the omnibus spending bill that President Biden signed into law Dec. 29, CMS has posted a revised conversion factor of $33.8872, replacing the $33.0607 amount originally released with the final 2023 Medicare physician fee schedule.

CMS sets standards for non-medical services, settings under Medicaid, CHIP

by: Roy Edroso Jan 5, 2023

On Jan. 4 CMS issued new guidelines for the use of non-medical services under Medicaid managed care programs and the Children’s Health Insurance Program (CHIP) – further advancing the agency’s agenda to use such means to meet beneficiaries’ social determinants of health (SDOH).

Near-final version of budget bill dents Medicare cuts, extends telehealth flex

by: Roy Edroso Dec 20, 2022

In what looks to be the last iteration of Congress’ year-end appropriations bill for 2023, the daunting 4.5% conversion factor cut to Medicare providers’ reimbursement has been slightly eased with a 2.5% increase to 2023 rates and a 1.25% increase to 2024 rates – trimming but not totally erasing the drop to about 2% for CY 2023.

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