COVID-19 Frequently Asked Questions (FAQs) – Released May 5, 2020

COVID-19 Frequently Asked Questions (FAQs) – Released May 5, 2020

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…

MAC will Reprocess the claims – Telephone E&M; Visits

MAC will Reprocess the claims – Telephone E&M; Visits

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…

CMS Announces Independent Commission to Address Safety and Quality in Nursing Homes

CMS Announces Independent Commission to Address Safety and Quality in Nursing Homes

As a part of President Trump’s Opening Up America Again effort, the Centers for Medicare & Medicaid Services (CMS) announced a new independent Commission that will conduct a comprehensive assessment of the nursing home response to the 2019 Novel Coronavirus (COVID-19) pandemic. The Commission will provide independent recommendations to the contractor to review and report…

List of New Telehealth Services

List of New Telehealth Services

CMS is proposing to add the following services, CPT and HCPCS codes to the list of Medicare telehealth services for CY 2013: HCPCS code G0396 (Alcohol and/or substance (other than tobacco) abuse structured assessment (for example, AUDIT, DAST) and brief intervention, 15 to 30 minutes) HCPCS code G0397 (Alcohol and/or substance (other than tobacco) abuse…