CMS Proposes Rule to Increase Price Transparency, Access to Care, Safety & Health Equity CMS is proposing actions to address the health equity gap, ensure consumers have the information they need to make fully informed decisions regarding their health care, improve emergency care access in … [Read more...]
Medicare 2021 APM Incentive Payment Details
2021 APM Incentive Payment Details The Centers for Medicare & Medicaid Services (CMS) has published 2021 Alternative Payment Model (APM) Incentive Payment details on the Quality Payment Program (QPP) website. To access this information, clinicians and surrogates can now log in to the QPP … [Read more...]
Billing for Services when Medicare is a Secondary Payer
Medicare Secondary Payer Background Medicare law and regulations require all entities that bill Medicare for services or items given to Medicare beneficiaries to decide whether Medicare is the primary payer for those services or items before submitting a claim to Medicare. (See Section 1862(b)(2) … [Read more...]
Medicare Wellness Visits-An Often Missed Revenue Opportunity
Medicare Wellness Visits Medicare covers wellness visits, and your patients pay nothing if you accept assignment. The Part B deductible doesn’t apply. You should recommend the Initial Preventive Physical Examination (IPPE) and Annual Wellness Visit (AWV) to get your patients off to a healthy start … [Read more...]
CMS Expansion of Telehealth Services During COVID-19
Medicare & Medicaid Telehealth Services The Centers for Medicare & Medicaid Services (CMS) expanded the list of telehealth services that Medicare Fee-For-Service will pay for during the coronavirus disease 2019 (COVID-19) Public Health Emergency (PHE). CMS is also providing additional … [Read more...]
Medicare’s Quality Payment Program Website Updated
Medicare's Quality Payment Program The Centers for Medicare & Medicaid Services (CMS) has updated the Quality Payment Program website to include 2020 Alternative Payment Model (APM) Incentive Payment details. To access this information, clinicians and surrogates can now log in to the QPP … [Read more...]