Coronavirus (COVID-19) Update from CIPROMS
The well-being of our employees and service to our clients are top priorities. READ MORE
Indiana Legislates Fewer Surprise Bills for Patients at In-Network Facilities
New regulations intended to reduce out-of-network balance billing, or so-called “surprise billing,” by Indiana physicians are set to take effect July 1, 2020. H.B. 1004 ensures that patients who go to an in-network hospital will not receive surprise bills from out-of-network physicians. As well, the new law requires hospitals and physicians to provide good faith estimates to patients when requested. READ MORE
Digging into the HRSA COVID-19 Uninsured Program; Here’s What You Need to Know
Providers who test and treat uninsured patients for COVID-19 can be reimbursed through the HRSA COVID-19 Uninsured Program, funded by the CARES Act Provider Relief Fund and the Families First Coronavirus Response Act. Here’s what providers need to know to get started and submit their own claims. READ MORE
Patients Are Avoiding the ER During COVID-19; Here’s Why
It doesn’t just seem like emergency departments are seeing fewer patients than usual during the COVID-19 pandemic. ERs across the country actually are seeing around 40 to 50 percent fewer patients. A recent ACEP poll offers a few reasons why. READ MORE
HHS Extends Deadline for Attestation of Provider Relief Fund Payments
Providers now have 45 days to attest to receiving payments from CARES Act Provider Relief Fund and accept the terms and conditions. READ MORE
More Money Coming to Providers: Round 2 of CARES Act Funds, Plus Funding for Testing and Treating Uninsured
Healthcare providers around the country will start to receive more of the CARES Act Provider Relief Fund in the coming days, including $20 billion from the general distribution and funds for testing and treating uninsured COVID-19 patients. READ MORE
CMS Halts Its Expanded Advanced Payment Program, Slows Accelerated Payments
One month after CMS expanded its Accelerated and Advanced Payments Program, the agency announced that it’s suspending advanced payments to Part B providers and suppliers, and is reevaluating accelerated payments to hospitals and other Part A providers. READ MORE
Billing Guidelines for Anesthesiologists Performing Critical Care and Related Services
During the COVID-19 National Health Emergency, many anesthesiologists are being tapped for patient care duties outside of their normal scope, especially critical care and related services. Here are a few tips for documenting and billing those services. READ MORE
Check the Fine Print before Accepting Your CARES Provider Relief Fund Payment
Many providers received their first payments from the CARES Provider Relief Fund on April 10, but there may be a problem buried in the fine print. READ MORE
Updated Guidelines for Billing COVID-19 Testing and Related Services
Through the Families First Coronavirus Response Act and the Coronavirus Aid, Relief, and Economic Security Act, cost-sharing for COVID-19 testing and related services has been waived for insured patients. Here are updated guidelines for billing those services to Medicare and other payers. READ MORE
Medicare Provider Enrollment Flexibilities during the COVID-19 Public Health Emergency
During the COVID-19 Public Health Emergency, CMS is exercising its authority under an 1135 Waiver to offer flexibilities for Medicare provider enrollment. Here is a brief overview of some of those relaxed, temporary guidelines. READ MORE
