Centers for Medicare and Medicaid Services (CMS) in March 2003 instructing insurance companies to publish a provider education article regarding home health consolidated billing (HHCB) and provider liability. Th
The hospital charge is excluded from consolidated billing because it is billed using an E&M code; therefore, the hospital may bill Part B rather than billing the SNF. SNFs still must be mindful, however, of when a diagnostic test is subject to consolidated billing under Part A and therefore...
SUBJECT: April 2023 Quarterly Update to HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement I. SUMMARY OF CHANGES: The purpose of this CR is to provide updates to the lists of HCPCS codes that are subject to the consolidated billing provision of the SNF ...
In alignment with the Consolidated Appropriations Act, 2023 and to ensure continuous eligibility (CE) in Medicaid and CHIP for children under 19, CMS proposes to make CE mandatory for all states. This change would remove previous state options to limit CE to younger age groups or shorter per...
Thursday, July 6, 2023 WASHINGTON—The Center for Medicare & Medicaid Services' proposed 2024 rule for the home health payment system includes a slew of hospice-specific provisions, many of them designed to reduce fraud and so-called "hospice flipping." Here's a look at what's included, ...
(b) of the Consolidated Appropriations Act of 2024 established coverage for IOP services effective Jan. 1, 2024. CMS finalized the payment and program requirements for the new IOP benefit. The Final Rule includes the scope of benefits, physician certification requirements, coding and billing ...
(SRDP). Additionally, CMS updated and created new forms under the SRDP, the use of which, effective as of March 1, 2023, is now required. Separately, CMS also recently revised its process for updating its Stark Law code list, which formally defines certain service codes within four ...
We've moved the CSS for this application and our Sandbox application into a consolidated Blue Button 2.0 API CSS repository so that we can more easily keep things consistent and deploy changes more quickly. You'll need to clone/download the BlueButton CSS repository to get started. If you're...
CMS has published the second quarterly 2003 home health consolidated billing updates - In Brief - Brief Article