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Healthcare providers are granted even more latitude for use of telehealth services during the COVID-19 public health emergency. On a Friday, at month-end, the Centers for Medicare & Medicaid Services (CMS) kindly dropped another bomb on us: more temporary policy changes during the public health emergency for COVID-19. We may have this all sorted out just […]
The post Medicare Telehealth Coding as of April 30 appeared first on AAPC Knowledge Center.
An unprecedented “relaxation” in regulatory guidelines will give U.S. hospitals and non-traditional care sites a fighting chance to meet the high demand of COVID-19 hospitalizations expected in the coming weeks. The Trump administration issued, March 30, regulatory waivers and guidelines in the form of an interim final rule, to be implemented immediately. Loosening Criteria for […]
The post Feds Extend Medicare Coverage During COVID-19 Pandemic appeared first on AAPC Knowledge Center.
Your frequently asked questions, answered. In a previous post in the AAPC Knowledge Center, we noted that, on March 17, 2020, Medicare relaxed its telehealth regulations to facilitate healthcare for the elderly and others affected by the COVID-19 pandemic for the duration of the national public health emergency. Specifically, the purpose of the decision was […]
The post Coronavirus Medicare Telehealth Waiver FAQ appeared first on AAPC Knowledge Center.
The government is relaxing guidelines to ensure seniors get the healthcare they need during this national emergency. A sweeping expansion of telehealth coverage for Medicare beneficiaries is being implemented to aid in the healthcare needs of those with the coronavirus, or COVID-19. The Centers for Medicare & Medicaid Services (CMS) announced in a March 17, 2020, […]
The post Telehealth Coverage Expanded for Medicare Patients appeared first on AAPC Knowledge Center.
Medicare patients are receiving calls from telephone solicitors who are phishing for private identification information for nefarious purposes. The ruse is facilitated by the issuance of new Medicare cards. Here’s How the Scam Goes Down The callers claim to be from Medicare and say there has been a mix up in the assignment of new […]
The post New Medicare Cards Initiate Phishing Scam appeared first on AAPC Knowledge Center.
Use the MSN to inform patients of their benefits and clarify billing questions. While calling Medicare to explain a patient’s benefits is sometimes better, this is not always the first phone call the patient makes. More likely, the patient calls the provider’s office with questions about their medical bills. Here’s how your practice can use […]
The post Use Medicare Summary Notices as an Opportunity to Educate Patients appeared first on AAPC Knowledge Center.
Medicare has been issuing beneficiaries new member cards with Medicare Beneficiary Identifiers (MBI) in place of Social Security Numbers (SSNs) for more than two years. 2019 was a phase-in period when Medicare would accept either a beneficiary’s Social Security Number or their new MBI on claims. Starting Jan. 1, 2020, CMS will reject any Medicare […]
The post Prevent Medicare Claims Denials in 2020 appeared first on AAPC Knowledge Center.
The US Attorney for Manhattan, New York, and a Special Agent for the OIG’s New York Regional Office, announced today that the US Federal Government has settled a civil fraud suit against Lenox Hill (a Manhattan Hospital) and its corporate parent Northwell. The Government’s complaint alleges that the two Defendants violated the False Claims Act by knowingly and fraudulently billing Medicare for healthcare services that didn’t comply with Medicare law.
The post Lenox Hill Hospital Pays $ 12.3 Million Settlement For Submitting Fraudulent Medicare Claims appeared first on The Coding Network.
Chronic care management (CCM) services are services that do not involve face-to-face patient/provider contact. The Centers for Medicare & Medicaid Services (CMS) implemented Medicare coverage for CCM in Jan. 1, 2015. There are very specific guidelines providers need to follow to be reimbursed for CCM services rendered to Medicare patients, but it appears CMS is […]
The post OIG Uncovers Medicare Overpayments for Chronic Care Management Services appeared first on AAPC Knowledge Center.
According to the United States DOJ, Traverse Anesthesia Associates, along with several anesthesiologists are paying over $ 600K to resolve allegations that they consciously incorrectly submitted certain anesthesia claims to Medicare. Investigators mentioned that TAA and six of their anesthesiologists didn’t meet the regulative needs and conditions of payment for billing those services as medically directed.
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The post Anesthesia Place in Traverse City Will Now Pay $ 600K For Falsifying Claims to Medicare appeared first on The Coding Network.