Month: May 2021
E&M Coding in 2021
Now is the time to take a few minutes to assess your coding.
- If you are coding close to your specialty’s bell curve and if your documentation supports your coding, take a deep breath. If you find you are an outlier, don’t panic. Time is on your side.
- Under-coders of the world, look to increase your coding. Your documentation likely supports a higher code. Over-coders, make sure your documentation supports your higher coding.
- You are at higher risk for an audit, and your best defense will be solid documentation
Are you curious to see how you are doing? Follow this link to “Physicians Practice” article:
E&M Coding in 2021: Four Questions, Four Answers
COVID-19 Coverage Assistance Fund (CAF)
MGMA Washington Connection May 6, 2021
This week, the HHS Health Resources and Services Administration (HRSA) announced the creation of the COVID-19 Coverage Assistance Fund (CAF). This new program will reimburse providers the cost of administering COVID-19 vaccines to patients specifically enrolled in certain short-term, limited duration and benefit health plans that either do not cover vaccinations or cover them with patient cost-sharing. Providers can request claims reimbursement electronically through the CAF Portal and will be reimbursed at the national Medicare rate for vaccine administration, and for patient charges related to COVID-19 vaccination, including co-payments, deductibles, and co-insurance for vaccine administration.
As a reminder to those practices that have received more than $10,000 from the Provider Relief Fund (PRF), registration is now open for the PRF Reporting Portal. According to HRSA, the portal is only open for registration. MGMA will update members once the portal is open for reporting.
Re: Cigna MA Referrals
This is a cut and paste from:
(Revised 04/26/21) The current Public Health Emergency (PHE) period has been extended through 07/20/2021. https://www.phe.gov/emergency/news/healthactions/phe/Pages/COVID-15April2021.aspx
Referral Requirements
In-Network Providers: Referral requirements (if required by customer’s benefit plan) are waived for in-network provider services through 07/20/2021.
Out of Network Providers: Referral requirements (if required by customer’s benefit plan) are waived for out-of-network provider services through 07/20/2021.
UnitedHealthCare
Looking for UHC updates?
- Medical Policy Updates
- Reimbursement Policy Updates
- Looking to review all the updates?
See the monthly overview
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