CMS Proposes Major 2026 Medicare RPM Billing Updates | What You Need to Know
CMS Proposed rule and what it means for RPM.
Medical Billing, Telehealth
Practice Management, Revenue Cycle Management
Heads Up, Doc! A New Wrinkle in Medicare Enrollment
Listen up, doctors, suppliers, and anyone billing Medicare for patient care! There’s a new wrinkle in the world of enrollment – the “stay of enrollment.” Don’t worry, it’s not a complete shutdown, but it is a yellow card from Medicare. So, What Exactly is a Stay of Enrollment? Think of it like a temporary hold
Medical Billing
Effectively Implementing Remote Patient Monitoring (RPM)
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
Medical Billing, Revenue Cycle Management, Telehealth
Financial Benefits of Remote Patient Monitoring (RPM)
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
Medical Billing, Medical Coding
What is HCC coding and why is it important?
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.
Medical Billing
Ready, Set… Stop!
Biden administration announces end to Covid-19 Public Health Emergency (PHE) The emergency declarations related to the Covid -19 pandemic will expire on May 11th, according to the Biden administration. “The COVID-19 national emergency and public health emergency (PHE) were declared by the Trump Administration in 2020,” the Office of Management and Budget said in a statement.
Covid 19-Telehealth, Medical Billing, Medical Coding, Revenue Cycle Management
Covid-19 Accelerated and Advanced Payments Repayment
As a reminder, Covid-19 Accelerated and Advanced Payments repayment will begin this year. The Continuing Appropriations Act established that repayment will begin “one year from the issuance date of each provider or supplier’s accelerated or advanced payment” Medicare will automatically recoup 25 percent of the Medicare payments owed for eleven months, If full recoupment is
Covid 19-Telehealth, Medical Billing, Medical Coding
Medicare Part B Payment for COVID-19 Vaccines during the PHE
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
Covid 19-Telehealth
Interim Guidance for Routine and Influenza Immunization Services During the COVID-19 Pandemic
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
Covid 19-Telehealth
COVID-19 Vaccine Policies and Guidance
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
