Part B News
CMS cements fresh round of COVID waivers, upping payments, expanding telehealth
05/11/2020
by: Decision Health Staff
A second wave of policy and payment changes that CMS released April 30 is reshaping — yet again — how the medical community can conduct care during the COVID-19 crisis and, critically, how much providers can expect to get paid.
Capture payments for uninsured COVID patients, but act fast to get a slice
05/11/2020
by: Richard Scott
Providers now have a way to capture reimbursement for the treatment of uninsured patients during the COVID-19 emergency. But bear in mind that funds are limited, and you’ll have to wade through various registration steps to get set up.
COVID-hit providers increased patient messaging 37-fold in early crisis response
05/11/2020
by: Roy Edroso
A major patient communication vendor’s records show a massive spike in provider-to-patient interactions during the early days of America’s COVID-19 shutdown — an indicator of the importance of appropriate patient messaging in handling the COVID crisis.
Put modifier CR on waiver-related claims – but not telehealth
05/04/2020
by: Roy Edroso
A Bush-era modifier has been revived to let contractors know when you’ve posted a claim for a service that’s only allowed because of waivers employed for the COVID-19 public health emergency (PHE).
Practices thirsting to ‘reopen’ must play smart, go slow, heed regional COVID-19 guidance
05/04/2020
by: Roy Edroso
While both CMS and the White House have issued documents on how to reopen practices that have curtailed operations during the COVID-19 public health emergency (PHE), your main legal guidance is at the state level — and in federal laws regarding your treatment of employees.
CMS stops Accelerated and Advance Payments, steers providers to Relief Program
05/04/2020
by: Roy Edroso
In a surprise announcement on April 26, CMS announced it was stopping the Accelerated and Advance Payments (AAP) program it recently offered as a solution for providers cash-strapped by COVID-19 closures.
Put modifier CR on waiver-related claims — but not telehealth
05/04/2020
by: Roy Edroso
A Bush-era modifier has been revived to let contractors know when you’ve posted a claim for a service that’s only allowed because of waivers employed for the COVID-19 public health emergency (PHE).
Providers will need to act to receive their share of $20B relief fund
05/04/2020
by: Richard Scott
Starting April 24, a second wave of relief payments — totaling $20 billion — is on its way to health care providers and hospitals. But take note: To access and keep the relief funds, providers must verify their 2018 payment receipts with the federal government.
89% of practices report steep decline in patient volume: Survey
05/04/2020
by: Richard Scott
The financial fallout of the ongoing COVID-19 public health emergency (PHE) continues to plague frontline medical practices, with nearly nine out of 10 groups reporting “large decreases” in patient volumes.
Be careful of HHS’ terms and conditions behind your provider relief payment
04/27/2020
by: Roy Edroso
You may be excited about the money you’re expecting — or have already received — from the feds from the Provider Relief Fund program. But be aware that you’re required to attest to certain terms and conditions, and not all of them are obvious.
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