The CMS and CDC recently announced provider reimbursement update available to physicians and health care providers to counsel patients.
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Specialty Codes. The Healthcare Provider Taxonomy Code Set is available from the Washington Publishing Company (www.wpc-edi.com) and is maintained by the National Uniform Claim Committee (www.nucc.org). The code set is updated twice a year, with the updates being effective April 1 and ...
CMS states that this change would not only streamline the prior authorization processes so that they are the same across payers but would also help to reduce provider burden by having the same timeframe and reducing the potential for delays in care by decreasing the time beneficiaries and pro...
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CMS now limits the use of audio-only communications to mental health services when the patient cannot use or does not consent to two-way audio/video technology. A new modifier is required to indicate that the provider has the capability to offer two-way communication but opted for audio-only...
as well as implementing cross-state licensing to alleviate provider shortages. Lastly, we recommend that CMS invests in methods to identify and determine the impact of social risk factors without increasing provider burden, as the effects of increased medical and social complexity disproportionately fall...
The CMS-1500 form is the standard paper claim form used by a non-institutional provider or supplier to bill Medicare carriers and Medicare administrative contractors (MACs) when a provider qualifies for a waiver from the Administrative Simplification Compliance Act (ASCA) requirement for electronic sub...
Medicaid enrollment of dually eligible— Under the proposed rule, CMS proposes that for purposes of determining Medicare cost-sharing obligations, the state Medicaid programs must accept enrollment of all Medicare-enrolled providers and suppliers (even if a provider or supplier is of a type not reco...
and 19 physicians in the United States House of Representatives united to urge Congressional leaders to include legislation in any end-of-year legislative packages to protect American seniors and the nation’s health care system by blocking planned cuts to more than 30 specialty provider servi...