CMS has begun paying most Medicare claims with dates of service (DOS) in October 2025, but there are exceptions. On October 21, 2025, CMS instructed Medicare Administrative Contractors (MACs) to lift the claims hold and process claims with DOS of October 1, 2025 and later for services under the Medicare Physician Fee Schedule, ground ambulance […]
Not long ago, the idea of checking a patient’s vitals from miles away seemed futuristic. But as healthcare faced the dual pressures of rising chronic disease and aging populations, Remote Patient Monitoring (RPM) emerged as a powerful solution—turning home devices into daily health checkpoints and transforming how we think about outpatient care. Today, RPM is
During the past two years there has been a lot of conversation about remote patient monitoring. Implementing remote patient monitoring (RPM) in a medical practice can bring many benefits, such as improved patient outcomes and cost savings. However, it’s important to approach the implementation process thoughtfully and with a plan in place. Here are some
We’ve heard a lot about RPM and the ability to gain significant revenue just by implementing the program in your healthcare organization. In this two-part series we’ll talk about the financial benefits, as well as things to keep in mind in order to effectively implement an RPM program. The financial benefits of implementing remote patient
We get this question many times. What is HCC coding and why is it important? I wanted to take some time to give some background to this question. Hierarchical Condition Categories (HCC) coding is a system used by Medicare Advantage plans to classify and reimburse healthcare providers for the care of patients with chronic conditions.
Everything you need to know about billing Medicare for COVID-19 Vaccines, and certain Monoclonal Antibodies can be found from the link below: https://www.cms.gov/medicare/medicare-part-b-drug-average-sales-price/covid-19-vaccines-and-monoclonal-antibodies CMS has created a provider toolkit to provide further guidance and can be found from the link below: https://www.cms.gov/covidvax-provider
The COVID-19 pandemic has caused healthcare personnel to change how they operate to continue providing essential services to patients. Ensuring immunization services are maintained or reinitiated is essential for protecting individuals and communities from vaccine-preventable diseases and outbreaks and reducing the burden of respiratory illness during the upcoming influenza season. The link below contains a
Find the information and guidance you need to provide the COVID-19 vaccine. We have many resources about coverage and billing for providers, state Medicaid plans, and private health plans from the link below. https://www.cms.gov/covidvax
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