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The proposed rule focuses on advancing value-based care and making care more accessible. A proposed rule released by the Centers for Medicare & Medicaid Services (CMS), July 13, lays out the law for healthcare services paid under the Physician Fee Schedule (PFS) in calendar year (CY) 2024. Many of the provisions extend or implement previously […]
The post CMS Proposes 2024 Medicare Physician Payment Policies appeared first on AAPC Knowledge Center.
OIG audit finds Medicare could have saved up to $ 215.8 million over 5 years. Drug testing is generally performed to detect the presence or absence of drugs in patients undergoing treatment for pain management or substance use disorders. There are two types of drug testing: presumptive and definitive. A presumptive drug test identifies whether drugs […]
The post Overpayments for Definitive Drug Testing Services Cost Medicare Millions appeared first on AAPC Knowledge Center.
Keep this table handy to apply new modifiers JK and JL correctly starting in May. Durable medical equipment (DME) suppliers and pharmacies that provide insulin pumps or insulin for pumps need to be aware of the following key points about upcoming Medicare changes under Part B. Comply With the Coinsurance Cap Starting July 1, 2023, […]
The post Changes Are Coming for Billing Insulin in DME Pumps Under Medicare appeared first on AAPC Knowledge Center.
Don’t assume the codes you’ve been using to report drugs and biologicals still apply. The January 2023 update to the HCPCS Level II code file from the Centers for Medicare & Medicaid Services (CMS) includes 184 new codes for reporting services and supplies. Approximately 36 of the new codes were created to separately identify products […]
The post Check Out All the New Codes for Reporting Services and Supplies to Medicare appeared first on AAPC Knowledge Center.
Healthcare providers submitting claims for services, supplies, and accessories ordered under the Medicare Intravenous Immune Globulin (IVIG) Demonstration can expect to see an approximate 2.1 percent payment increase over last year. The calendar year 2023 rate for HCPCS Level II code Q2052 is $ 392.56, compared with $ 384.59 in 2022. What is the Medicare Intravenous Immune […]
The post <strong>Medicare Updates IVIG Demonstration Payment for 2023</strong> appeared first on AAPC Knowledge Center.
A business associate of a government contractor is hit with a ransomware attack. The Centers for Medicare & Medicaid Services (CMS) confirms that Healthcare Management Solutions, LLC (HMS), a subcontractor of ASRC Federal Data Solutions, LLC (ASRC Federal), experienced a data breach in the form of a ransomware attack. The breach may have exposed some […]
The post Data Breach Involves 254K Medicare Beneficiaries appeared first on AAPC Knowledge Center.
The conversion factor is down but certain public health emergency flexibilities will continue. The 2023 Medicare Physician Fee Schedule (MPFS) and Quality Payment Program final rule, released Nov. 1, allows Part B physician payment for behavioral healthcare, cancer screening, and dental care. But while the Centers for Medicare & Medicaid Services (CMS) continues its focus […]
The post 2023 Medicare Physician Payment Policies Finalized appeared first on AAPC Knowledge Center.
Encourage your patients to go digital this year with an electronic handbook and Medicare notices. The official U.S. government Medicare handbook, Medicare & You, is now available for 2023. Patients can help Medicare save money and go green by signing up to receive an electronic copy and requesting electronic Medicare summary notices. The handbook includes […]
The post CMS Releases 2023 Medicare Handbook appeared first on AAPC Knowledge Center.
Broader coverage comes as great news for those with profound hearing loss. Cochlear implants were first covered for adult Medicare beneficiaries in October 1986 with coverage for children following in 1992. Since then, devices have been improved and there have been gradual changes in the degree of hearing loss for which the Food and Drug […]
The post Medicare Expands Cochlear Implantation Coverage appeared first on AAPC Knowledge Center.
Prior authorization is no longer required for certain DME when it risks the health of the patient. The Centers for Medicare & Medicaid Services (CMS) has suspended the prior authorization requirements for certain durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) when waiting for prior authorization would delay healthcare and risk the life or health […]
The post Medicare Suspends Prior Authorization Requirements for Some DME appeared first on AAPC Knowledge Center.