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Click here for more sample CPC practice exam questions and answers with full rationale

CMS Terminating Certain Section 1135 Waivers

Some facility types will need to reinstate waived requirements as early as May 7 to maintain compliance. The Centers for Medicare & Medicaid Services (CMS) announced in an April 7 memorandum that it will be phasing out some of the temporary emergency declaration section 1135 waivers of the Social Security Act that have been in […]

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AAPC Knowledge Center

October Update: Waivers, NCDs, and POS

Take 5 to stay up to date on medical coding news. Aside from the annual update to ICD-10-CM, October brought us news of COVID-19 waiver status, a new telehealth place of service code, a new National Coverage Document (NCD) for chronic non-healing wounds, and plenty of code updates to other NCDs. Let’s get right to […]

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AAPC Knowledge Center

Medicare Waivers Issued as Hurricane Dorian Heads Toward East Coast

In response to Hurricane Dorian, a public health emergency (PHE) is in effect for Puerto Rico, Florida, Georgia, and South Carolina. A temporary waiver of certain Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) requirements; special enrollment opportunities for hurricane victims; and improved access to dialysis care are now in place. The PHE in Puerto […]

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AAPC Knowledge Center

CMS Authorizes Blanket Waivers for California

The Centers for Medicare & Medicaid Services (CMS) issued several blanket waivers, Nov. 13, for those who are evacuated, transferred, or otherwise displaced as a result of  the California wildfires. These waivers are retroactive to Nov. 8, and allow healthcare providers to continue caring for Medicare patients affected by the emergency without having to apply […]

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AAPC Knowledge Center

Providers Recovering from Irma Need Not Apply for Waivers

Centers for Medicare & Medicaid Services (CMS) authorized waivers under Section 1812(f) of the Social Security Act for the United States Virgin Islands, Commonwealth of Puerto Rico and State of Florida, for those people who are evacuated, transferred, or otherwise dislocated as a result of the effect of Hurricane Irma in 2017. CMS authorized waivers under […]
AAPC Knowledge Center

Are Discounts and Waivers Illegal?

A discount is a reduction in the amount of what a patient owes. Usually these are contractual and negotiated between the insurance carrier and the provider. A waiver would be intentionally not perusing your right to collect a deductible or co-payment. Provider offices are seeing larger deductibles and co-payments as carriers are making the patient […]
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