It’s October 2025, and while football fans are glued to unpredictable plays this season, healthcare providers are stuck watching their own kind of gridiron drama — Medicare’s latest “hold everything” game plan. The Play-by-Play CMS has directed Medicare Administrative Contractors to continue holding claims affected by expired payment provisions — that means telehealth, ground ambulance, and FQHC claims are all […]
Well, folks, here we are—October 2025, and the telehealth roller coaster just took another sharp turn. Congress hit the snooze button, the government is doing its best “out of office” impression, and those cozy pandemic-era telehealth rules officially bid us farewell at midnight on September 30. So, if you were betting on virtual visits being
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
CMS Proposed rule and what it means for RPM.
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
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.
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.
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
Schedule A Free Consultation
Form will open in a popup, please enable popups for this site.
Still not working? Click HERE.
📞 Phone: 240-334-7778 | ✉️ Email: info@aiemedicalmanagement.com
Centers for Medicare, Medicaid Services, Centers for Medicare and Medicaid Services, and Kareo Billing Partner are registered trademarks and property of their respective owners.