The No Surprises Act has been deferred until further notice by the Departments of Health and Human Services. The act requires providers and facilities to provide good faith estimates for their insured payments, continue reading below to learn more! The Departments of Health and Human Services, Labor, and Treasury will defer enforcement of the No…
The pandemic has made virtual health appointments as common as those in-person, but this could be coming to an end with new rules and regulations coming into place for telehealth. Continue reading below to learn more about the limits of telehealth and how this could affect you! If you live in one state, does it…
Per the most current Federal Register CMS has proposed significant RVU/Fee increases for Chronic Care Management service (CCM) in CY 2022. The following table shows the 5 CCM CPT codes with the proposed increase in RVU/Fees for CY 2022, followed by the current Care Management Service and Coding guidelines. Many practices undervalue Care Management services…
To allow patients greater access to mental health care, practices are moving to a collaborative care model. This collaboration calls for new billing codes to allow these various practices to coordinate payments for their patients in an effective manner. Continue reading below to learn more! Your practice is considering making a move—or has moved—to a…
The AMA has announced a CPT code set that is ready for third doses of COVID-19 vaccines. This code set applies to the Moderna and Pfizer vaccines, and is ready for immediate use as third doses of the vaccine have been approved. Continue reading below to learn more! CHICAGO — The American Medical Association (AMA)…
Surgeons balk at CMS’ payment rule after CMS announced payment updates for 2022. The American College of Surgeons opposes this latest update and feels it is not a sustainable long-term solution. Continue reading below for their statement. Shortly after CMS unveiled its proposed Physician Fee Schedule for 2022, the American College of Surgeons released a…
Public concern over surprise billing practices has made new regulations inevitable. The Kaiser Foundation published a study on February 11, 2020 that showed 1 out of 5 adults received a Surprise Medical Bill in the past 2 years. The National Association of Insurance Commissioners did a poll in July of 2020, and they found that…
The Redirect Health CFO has discussed how employers and payers can work together post-pandemic. COVID-19 completely redefined the healthcare system and influenced new processes, leaving some confused about the future of healthcare as we move past the pandemic. Continue reading below to learn more about what the CFO of Redirect Health has shared regarding healthcare…
Modifier 22 is used when the factors influencing how complicated a procedure was, are documented in detail. It is important to make sure this modifier is appropriately reported and that you have a thorough understanding of modifier 22 to ensure you’re getting the additional revenues you qualify for. Continue reading below for more information about…
Anyone who has been to the hospital knows there are always unexpected fees on the billing statement. At the beginning of next year, the Requirements Related to Surprise Billing, Part I is set to take effect. Continue reading below for more information. The Requirements Related to Surprise Billing; Part I, set to take effect on…