CMS distributes a prospectively determined amount of uncompensated care payments to “Medicare disproportionate share hospitals” based on their relative share of uncompensated care nationally. As required under law, this amount is equal to an estimate of 75 percent of what otherwise would have been paid as Medicare disproportionate share hospital payments, adjusted for the change…
CMS Releases Additional Medicaid & CHIP COVID-19 FAQs for State Medicaid and CHIP Agencies CMS released additional frequently asked questions (FAQs) to aid state Medicaid and Children’s Health Insurance Program (CHIP) agencies in their response to the coronavirus disease 2019 (COVID-19) pandemic. The new FAQs cover a variety of Medicaid and CHIP topics, including emergency…
Updated May 9, 2020, with information from the 4/30/20 rule CMS will pay for phone calls using codes CPT 99441—99443. The 4/30/20 rule adds these to the telehealth list and increased payment for these services CMS continues did not add CPT 98966–98968 to the telehealth list These codes previously had a non-covered status Physicians, nurse…
The March 30 Interim Final Rule with Comment Period added coverage during the Public Health Emergency for audio-only telephone evaluation and management visits (CPT MAC codes 99441, 99442, and 99443) retroactive to March 1. On April 30, a new Physician Fee Schedule was implemented increasing the payment rate for these codes. Medicare Administrative Contractors (MACs) will…
