The CDC and CMS published a new Chronic Pain Experience Journey Map to highlight significant barriers to care for those experiencing chronic pain, as the CDC announces a new record for drug overdose deaths in the US in 2021. In this post, we explore how the two are connected. READ MORE
Providers who received more than $10,000 from the COVID-19 Provider Relief Fund between July 1, 2020, and December 31, 2020, and have not reported on the use of those funds may qualify for a reporting extension. READ MORE
For the fourth performance year in a row, the Centers for Medicare and Medicaid Services is making adjustments to the MIPS program as a result of the COVID-19 public health emergency. READ MORE
The Department of Health and Human Services has filed an appeal of the February ruling striking down the presumptive QPA policy in the independent dispute resolution process of the No Surprises Act. Several other lawsuits over the policy also are pending. READ MORE
Patients who accumulate medical debt are getting some relief from credit reporting changes and a new four-point plan laid out by the Biden administration. Meanwhile, providers, whose bills patients are struggling to pay, are pursing more creative and patient-friendly ways to collect those balances. READ MORE
New Medicare local coverage determinations may hinder the ability to be paid for anesthesia services during Epidural Steroid Injections for pain management. The LCDs for several Medicare Administrative Contractors went into effect in late 2021, and others are being rolled out in 2022.
Out-of-network surprise billing protections through the No Surprises Act have been in place since January 1, 2022, based on several final rules released last year. Now, additional guidance and FAQs have been released, along with an announcement about the impending launch of the online Independent Dispute Resolution (IDR) portal. Here’s a breakdown of recent updates.
For the past two years, healthcare clinicians and facilities have received financial assistance from the federal government to help cover the costs and losses related to the COVID-19 pandemic. While the nation is still under a public health emergency, the relief funding is beginning to dry up, and providers who miss reporting requirements may be forced to return funds or face consequences. Here is an overview of recent Provider Relief Fund program changes and deadlines. READ MORE
One way to ensure hospital-owned physician practices are maximizing reimbursement is to outsource the billing of professional medical claims to medical billing companies who specialize in physician billing. Such outsourcing offers several key advantages for hospitals, as well as other corporate entities. Here’s why. READ MORE
As of midnight March 22, 2022, providers are no longer able to submit claims to the COVID-19 Uninsured Program for tests and treatment for uninsured patients. Claims for vaccination claims for uninsured patients will stop being accepted at midnight on April 5, 2022.