Experience. Integrity. Advocacy.
Experience. Integrity. Advocacy.

Emergency Medicine

Surprise Billing Interim Final Rule: What You Should Know

Earlier this month, healthcare providers and insurance plans got a more detailed look at how the No Surprises Act (NSA) will be implemented when the departments of Health and Human Services (HHS), Labor, and Treasury released a 411-page interim final rule that will go into effect on January 1, 2022. READ MORE

CMS Releases Critical Care CBRs for Second Year in a Row

The Centers for Medicare and Medicaid Services is once again releasing Comparative Billing Reports to some providers who perform critical care evaluation and management services. This time, they will be analyzing claims that occurred in part during the COVID-19 public health emergency, with dates of service from Jan. 1, 2020, through Dec. 31, 2020. READ MORE

Planning Ahead for No Surprises Act Implementation

The No Surprises Act, which was signed into law in December 2020, won’t go into effect until at least January 1, 2022. But that isn’t slowing down provider groups from working to ensure the details of the bill, which will be administered through by agencies like the Departments of Health and Human Services, Labor, and Treasury, are ironed out with their interests in mind. READ MORE

Providing and Billing for Medication Assisted Treatment for Opioid Use Disorder in the ED

In the 2021 Medicare Physician Fee Schedule, CMS finalized the creation of add-on G-code, G2213, to be billed with E/M visit codes used in the ED setting for medication assisted treatment of opioid use disorder. Having a code to use, however, is not the only hurdle for emergency physicians to cross in providing and billing of MAT for the treatment of opioid use disorder. READ MORE

2021 Medicare Physician Fee Schedule Final Rule: What Emergency Physicians Need to Know

Earlier this week, CMS published the final rule of the 2021 Medicare Physician Fee Schedule. After legislatively mandated adjustments, the 2021 conversion factor will be $32.41, a 10 percent decrease from the 2020 PFS conversion factor. We’ve highlighted a few of the biggest changes that will impact emergency physicians. READ MORE

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