Category: Business
Regarding the Ever Changing Telemedicine Guidelines.
KZA Telehealth Solutions Center
An up-to-date, comprehensive resource regarding
the ever-changing telemedicine guidelines.
KarenZupko and Associates, Inc. has been around for a long time.
They have shared a link to their website for updates to telehealth on the MGMA Community.
Please note, they update materials as changes are made by CMS.
So check back often!
There is a very nice chart on Payor Telehealth Policies and
lots more.
CoVid-19 Recovery Center:
Vaccine Billing and Coding Reference, MGMA 2021
For a listing of Vaccine names and their CPT Code, please follow this link to files on InK.
Reimbursement Policy Update Bulletin: UHC March 2021
UHC releases revised reimbursement policies for: Outpatient Hospital, Laboratory Services and Emergency Department E/M.
Directory Update
POET’s Physician Directory and Provider Roster have been updated. Follow the links to view, print or download.
Select CoVid-19 Temporary Cost Share Wavers are Extended. UHC Feb. 26, 2021
To continue to meet your needs through the evolving COVID-19 health emergency, UnitedHealthcare is extending select COVID-19 treatment cost share waivers, which are summarized below. We also continue to make ongoing updates to our COVID-19 billing and reimbursement guidance with the latest information, including giving providers a way to look up member Medicare ID numbers when submitting COVID-19 vaccine administration claims to the Centers for Medicare & Medicaid Services (CMS) Medicare Administrative Contractor (MAC).
Deadline to Comply with Information-Blocking Rule
Starting April 5, all practices must comply with so-called information-blocking rules that are part of the federal 21st Century Cures Act, which is designed to facilitate widespread access and sharing of health information among patients and physicians. Follow this link to view the TMA article.
21st Century Cures Act: Interoperability and Information Blocking Webinar: Free for TMA members and their clinical staff, this webinar will help you develop plans to prepare your practice to implement the information-blocking rule. The webinar has been accredited for 1.25 AMA PRA Category 1 Credits™
Link Recommended by MGMA Regarding Telehealth
CCHP helps you stay informed about telehealth-related laws, regulations and Medicaid programs. The map and search options below cover current laws and regulations for all fifty states and the District of Columbia. The information provided is only for research and informational purposes and should not be construed as legal counsel. Please consult with an attorney if you are seeking a legal opinion. To view the full report, visit the 50 State Report PDF.
*Please note that for the most part, states continue to keep their temporary telehealth COVID-19 emergency policies siloed from their permanent telehealth policies. These temporary policies are not included in the Fall 2020 report. In instances where the state has made policies permanent, CCHP has incorporated those policies into this interactive map tool.
Improve Your Appeal Efforts
“Know the Law When Managing Claim Denials for Better Appeals”
Medical denials and appeals can be an expensive and time-consuming. Sharpen your skills with this article from MGMA.
Recent Comments