On March 29, the Food and Drug Administration (FDA) authorized a second Moderna COVID-19 vaccine booster dose for adults aged 50 and older and certain immunocompromised adults. Following this, the Centers for Medicare & Medicaid Services (CMS) released Current Procedural Terminology (CPT) codes for reporting the second Moderna COVID-19 booster on medical claims.
HHS Extends COVID-19 Public Health Emergency
As a result of the continued consequences of the Coronavirus Disease 2019 (COVID-19) pandemic, Secretary of Health and Human Services, Xavier Becerra, renewed the COVID-19 public health emergency (PHE), just ahead of its April 16 expiration date, providing an extension of pandemic policies and flexibilities to providers and states. The administration has extended the PHE for 90 days, carrying it to mid-July.
New Developments in the Surprise Billing Rule: Is it Time to Rethink Your Medical Billing Services?
The Surprising Billing Rule is nothing new, but thanks to a judge’s recent ruling, it might be a good time to take a fresh look at something you’ve likely gotten comfortable with.
CMS To Cover Second COVID-19 Booster Shot at No Cost
The Centers for Medicare & Medicaid Services (CMS) announced it will pay for a second COVID-19 booster shot of either the Pfizer-BioNTech or Moderna COVID-19 vaccines without cost sharing, as it continues to provide coverage for this critical protection from the virus. People with Medicare pay nothing to receive a COVID-19 vaccine, and there is no applicable copayment, coinsurance, or deductible. People with Medicaid coverage can also get COVID-19 vaccines, including boosters, at no cost.
CMS Finalizes 2023 Payment Changes For Medicare Advantage and Part D Plans
The Centers for Medicare & Medicaid Services (CMS) announced Calendar Year (CY) 2023 Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies (the Rate Announcement).
