COVID-19 Resources and News
OIG to Focus Audits on COVID Add-On Payments
The OIG has announced its intention to audit add-on payments for high-throughput technology made by Medicare for COVID-19 CDLTs. These audits are expected to begin in 2023.
CMS Accepting 2022 MIPS Exception Applications
CMS has announced it is now accepting MIPS Exception applications for clinicians and groups who have been impacted by public health emergency in 2022.
Items to Watch as the Public Health Emergency Winds Down
Due to a number of COVID funds being exhausted or close to tapped out, this is likely to be the final extension. Here are some items to keep in mind as labs and pathologists prepare for the potential end of the PHE.
Pathology Job Market Struggling to Meet Increasing Demand
"Gone may be the days where one person who was more broadly trained could effectively advise whole laboratories comprehensively on what patients need and how to go about arranging that as an in-house offering," says Tara Luellen, Vice President of Lab Director Services.
HRSA Uninsured Program no longer accepting claims for COVID testing, vaccine administration
The HRSA Uninsured Program said claims for COVID testing and treatment will stop being accepted on March 22 at 11:59 p.m.
Timeline for repayment of Medicare Advances, recoupment rate
Impacted providers should expect to see 25% of their total Medicare payments to be recouped during the first 11 months of the repayment period. If repayment has not been completed within that timeframe, the recoupment rate will increase to 50% for 6 months.
New codes created for monoclonal antibody bebtelovimab following FDA EUA
On Feb. 11, the FDA authorized the emergency use of the monoclonal antibody bebtelovimab for the treatment of COVID-19 in adult and pediatric patients.
Early 2020 MIPS data again reveals declining participation
Early 2020 Merit-based Incentive Payment data released this week by CMS shows pandemic reporting flexibility is likely to keep the penalty pool small.
COVID-19 PHE receives another 90-day extension
The Covid-19 Public Health Emergency has been extended for an additional 90 days after HHS Secretary Xavier Becerra signed off on the extension late last week.
Will insurers pay for at-home COVID testing?
The concept is simple: you get an at-home COVID test, pay for it, take the test, and then send in the cost to your insurance plan for reimbursement. This is exactly what healthcare used to be.
Who's reviewing revenue strategy with you at this time?
Are you billing all the correct CPT codes? You’d be surprised at what you might be missing. We will review your Fee Schedule/Charge Master at no cost.
That’s right. For free.