News & Analysis

April 29, 2020
News & Insights

HHS’ Health Resources & Services Administration (HRSA) launched a portal that allows organizations to submit claims for treating uninsured novel coronavirus (COVID-19) patients. Reimbursement is available for claims for testing, treatment, and inpatient admissions billed on or after February 4.

April 27, 2020
News & Insights

Q: How can we submit a claim that hits an edit for a noncovered procedure? Can we submit a claim for the covered procedures? Can we appeal if the provider believes the procedure should be covered?

April 22, 2020

Medicare increased payments for patients diagnosed with the novel coronavirus (COVID-19). MLN Matters SE20015, implements provisions of the Coronavirus Aid, Relief, and Economic Security (CARES) Act for hospitals paid under the Inpatient Prospective Payment System (IPPS), long-term care hospitals (LTCH) PPS, and inpatient rehabilitation facilities (IRF) PPS.

April 22, 2020
Medicare Insider

This week’s Medicare updates include guidance for long-term care facilities on resident transfers during the COVID-19 pandemic, increased payment for certain COVID-19 tests, the FY 2021 inpatient rehab facility prospective payment system proposed rule, and more!

April 20, 2020
News & Insights

Q: Do National Correct Coding Initiative (NCCI) edits apply to all claims or do they only apply to Medicare claims?

April 15, 2020
News & Insights

CMS updated its novel coronavirus (COVID-19) billing and coding FAQs on April 9 to address new information on payment for specimen collection, diagnostic laboratory services, and hospital services including temporary expansion sites.

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