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Uninsured program payments were made to providers for patients who had health insurance and for services unrelated to COVID-19. In July 2023, the Office of Inspector General (OIG) released the results of its audit of the oversight and management of the COVID-19 Uninsured Program (UIP). The UIP was created as part of a series of […]
The post OIG Finds Distribution of UIP Funds Did Not Comply With Federal Requirements appeared first on AAPC Knowledge Center.
Here’s what the OIG is looking for, and Medicare carriers will be too. Did healthcare providers meet Medicare requirements and guidance when billing for psychotherapy services during the public health emergency (PHE) for COVID-19? The Office of Inspector General (OIG) conducted a nationwide audit to find out, and recently published their findings. It is not […]
The post Meet Documentation Requirements for Psychotherapy Services 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.
Check updated survey memo to ensure your facility is working in compliance. With the COVID-19 public health emergency (PHE) fully into its third year, providers have been wondering about their ongoing responsibilities for emergency preparedness (EP) testing. Now they have an answer. How Often to Providers Have to Conduct EP Testing? In a final rule […]
The post Emergency Preparedness Testing Requirements Clarified appeared first on AAPC Knowledge Center.
Learn the latest changes to reporting products and procedures related to Chimeric Antigen Receptor T-cell therapy to ensure proper coding. Expensive cutting-edge cancer therapy is available to Medicare patients nationwide. Back in 2019, the Centers for Medicare & Medicaid Services (CMS) finalized the long-sought rules for coverage of chimeric antigen receptor (CAR) T-cell therapy, a […]
The post CAR-T Reimbursement Requirements Revamped Again appeared first on AAPC Knowledge Center.
The updated format for AAPC 2022 certification exams was the topic of the December 22 AAPC Social Hour on Facebook Live. AAPC recently announced that exams will now consist of 100 questions that must be answered in four hours instead of 150 questions in five hours and 40 minutes. This change has given rise to […]
The post AAPC Social Hour: Certification Exam Requirements in 2022 appeared first on AAPC Knowledge Center.
Make sure you are aware of HIPAA exceptions during the public health emergency for COVID-19.
The post How a Pandemic Impacts HIPAA Requirements appeared first on AAPC Knowledge Center.
CMS moves to empower patients to be more active participants in the discharge planning process. A final rule revises and implements discharge planning requirements that hospitals, critical access hospitals (CAHs), and home health agencies (HHAs) must meet as a condition of participation (CoP) in the Medicare and Medicaid programs. These facilities have until Nov. 29, […]
The post Final Rule Revises Discharge Planning Requirements appeared first on AAPC Knowledge Center.
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