Mar 23, 2020
 | 
The Bottom Line

CMS is delaying the Minimum Data Set (MDS) 3.0 v1.18.1 release, which had been scheduled for October 1, 2020, in response to stakeholder concerns. The MDS item sets are used by Nursing Home and Swing Bed providers to collect and submit patient data to CMS. This MDS data informs payment, quality, and the survey process.

Mar 20, 2020
 | 
The Bottom Line

In order to address provider’s concerns regarding COVID-19, we have created a coronavirus forum where providers can connect with one another. The forum can include topics such as supplies, visitation, concerns, regulations, mandates, infection control, payment, staffing, etc. You’re not alone in this, we have you covered. Visit the forum to post questions, concerns, and tips and receive input from other providers across the nation. Join here.

Mar 06, 2020
 | 
The Bottom Line

In a recent report, the Office of Inspector General (OIG) determined that Medicare made Part B payments to ambulance suppliers for transportation services that were also included in Medicare Part A payments to Skilled Nursing Facilities, as part of consolidated billing requirements. CMS developed the Ambulance Fee Schedule and Medicare Transports (PDF) Booklet to help you bill correctly

Mar 06, 2020
 | 
The Bottom Line

CMS has developed a second Healthcare Common Procedure Coding System (HCPCS) code that can be used by laboratories to bill for certain COVID-19 diagnostic tests to help increase testing and track new cases. In addition, CMS released new fact sheets that explain Medicare, Medicaid, Children’s Health Insurance Program, and Individual and Small Group Market Private Insurance coverage for services to help patients prepare as well. For further COVID payment guidance, view CMS' fact sheet.

Mar 06, 2020
 | 
The Bottom Line

The Centers for Medicare & Medicaid Services (CMS) has created a series of fact sheets explaining the basics of HIPAA Administrative Simplification transactions and code sets. These fact sheets are designed to help the healthcare industry understand the purpose of HIPAA adopted transactions (ncluding billing) and to explain which standards and operating rules govern each transaction

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