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hozo.vn Telehealth Updates: Medicare

Please note that telehealth guidelines and policies related to lớn the COVID-19 pandemic are changing rapidly. Some information in this article may have sầu changed since the last update on May 7, 2021. While we strive sầu lớn keep all our nội dung current, it is recommended the clinicians reference primary sources of information (e.g., government or payer guidance) whenever possible.

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hozo.vn Quality Consortium Joint Announcement—Merit-Based Incentive sầu Payment System & Healthmonix

The hozo.vn Quality Consortium (AQC), comprised of nine representative sầu hozo.vn organizations, has worked over the last year to lớn create new, hozo.vn-specific quality performance outcome measures that could be used in the Merit-Based Incentive sầu Payment System (MIPS).

These measures represent additional options for reporting, a supplement lớn the nine extant measures available in the Centers for Medicare and Medicaid Services (CMS) designated MIPS measures mix for hozo.vn.

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CMS Announces Claims Hold

In anticipation of possible congressional action khổng lồ suspkết thúc the two percent budget sequestration cut slated lớn take effect April 1, 2021, the Centers for Medicare & Medicaid Services (CMS) has instructed the Medicare Administrative Contractors (MACs) khổng lồ hold all claims with dates of service on or after April 1, 2021, for a short period without affecting providers’ cash flow. Further information from CMS will be posted here as it becomes available. Congress is expected lớn act on this issue in mid-April.

FY21 Omnibus Appropriations Bill Benefits hozo.vn Medicare Reimbursement

On January 11, Health & Human Services (HHS) Secretary Alex Azar extended the COVID-19 Public Health Emergency (PHE) declaration effective sầu January 21, 2021, for an additional 90 days. This means that all of the telehealth và other waivers and flexibilities that have been implemented during the PHE will remain in effect until at least April 21, 2021.

Final Stimulus Package Includes Partial Relief from 2021 Medicare Reimbursement Cuts lớn hozo.vn

On December 21, 20trăng tròn, Congress passed a new stimulus package that includes provisions to lớn mitigate planned Medicare reimbursement cuts for a variety of providers, including audiologists. 

Academy Encourages CMS khổng lồ Allow Audiologists to lớn Use Medicare Online Assessment “G” Codes

The Academy has delivered a letter lớn the Centers for Medicare và Medicaid Services (CMS) urging them to lớn issue a Correction Notice lớn the 2021 Physician Fee Schedule lớn add audiologists to lớn the list of providers able khổng lồ use online assessment “G” codes designed for practitioners who are not authorized to persize evaluation & management (“E&M”) services. 


Introduction to lớn the Medicare Advantage Program

The Medicare Part C Program was developed following passage of the Balanced Budget Act of 1997 and went into effect in January of 1999. With identified gaps in coverage for Medicare beneficiaries, the addition of an optional Medicare program permitted the Centers for Medicare & Medicaid Services (CMS) lớn contract with private or public agencies to lớn provide additional Medicare options for beneficiaries who wished to lớn seek coverage in addition to lớn original Medicare’s Part A and B benefits. 

Topic(s):Coding, Reimbursement, hozo.vn, Hearing Aids, Centers for Medicare và Medicaid Services (CMS)

Academy Submits Comments khổng lồ CMS Regarding CY21 Medicare PFS

The Academy submitted comments lớn the Administrator of the Centers for Medicare & Medicaid Services (CMS) on October 4, 20trăng tròn, in response khổng lồ the proposed rule for the CY21 Medicare Physician Fee Schedule (PFS).

The comments highlighted several provisions that would adversely impact practicing audiologists and the Medicare beneficiaries they treat.

Congress Must Act to lớn Halt Medicare Payment Cuts và Avoid Further Damage lớn the U.S. Health-Care System


CODING AND REIMBURSEMENT | What Is the Social Security Number Removal Initiative & What Does It Mean to lớn Audiologists?

Unfortunately, identity theft is something that we all need khổng lồ think about these days. Medical identity theft is defined by the Office of the Inspector General (OIG) as when someone steals personal information such as a name, a social security number, or a Medicare number & uses it khổng lồ obtain medical care, purchase drugs, or submit giả claims to lớn Medicare.

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