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CMS Delays New Payment Model for Emergency Care Due To Covid-19

CMS has delayed the start date of its Emergency Triage, Treat and Transport model from May 1 until this fall.

CMS selected 205 participants in February for the five-year ET3 model. CMS said it is delaying the start date because participants now are focused on responding to the COVID-19 pandemic.

The new model aims to give ambulance care teams more flexibility in how they triage emergencies. The goal of the payment model is to improve care quality and cut costs by reducing unnecessary hospital visits for low-acuity emergencies that do not require a trip to the hospital.

Medicare now pays for emergency ambulance services when beneficiaries are transported to hospitals, skilled nursing facilities and dialysis centers. Most beneficiaries who call 911 with a medical emergency are taken to a hospital emergency department. Under the ET3 model, Medicare will reimburse for transport to an urgent care clinic or primary care office, or for providing care in place or using telehealth.

Read more about the ET3 model here.

Read the summary post in Hospital CFO Report here.

The post CMS Delays New Payment Model for Emergency Care Due To Covid-19 appeared first on The Coding Network.

The Coding Network

UnitedHealthcare Delays Changes in Consultation Code Policy

In August 2017, UnitedHealthcare (UHC) indicated they would no longer reimburse inpatient and outpatient consultation codes as of Oct. 1, 2017. When the implementation date came on Oct. 1, 2017, UHC indicated they delayed the consultation services revision until 2018: We previously announced that certain revisions to the Consultation Services Reimbursement Policy would become effective […]
AAPC Knowledge Center

CMS Delays Payment Model Expansion, Again

It may be spring, but the freeze is still on in Washington, D.C. — the “Regulatory Freeze Pending Review” memorandum, or Freeze Memo, that is. The Freeze Memo encourages agencies to temporarily postpone the effective date of regulations that have been published in the Federal Register, but have not taken effect, for 60 days from the
AAPC Knowledge Center