The American Medical Association (AMA) issued new Current Procedural Terminology (CPT) vaccine and administration codes for pediatric doses of the COVID-19 vaccine developed by Pfizer. The provisional codes will be effective for use if Pfizer’s two-dose COVID-19 vaccine for children ages 5 to 11 receives U.S. Food and Drug Administration (FDA) approval or emergency use authorization.
Hospital Billing Services Are Being Outsourced. Here’s Why.
Hospitals billing services have been outsourced for many years, but things are accelerating.
GAO Reports On Provider Performance And Experiences Under MIPS
The Centers for Medicare & Medicaid Services (CMS) administers the Merit-based Incentive Payment System (MIPS), under which MIPS-eligible providers receive a “final score” based on their performance on four measures (quality, cost, promoting interoperability and improvement activities). Their score is compared to a performance threshold, following which, providers receive a negative, neutral, or positive payment adjustment applied to future Medicare payments.
CMS Releases Surprise Billing Interim Final Rule Part II Regulations
On September 30, 2021, the Department of Health and Human Services (HHS), the Department of Labor, and the Department of the Treasury (collectively, the Departments), along with the Office of Personnel Management (OPM), released an interim final rule with comment period, entitled “Requirements Related to Surprise Billing; Part II.”
CMS Releases 2022 Medicare Advantage and Prescription Drug Plans Information
The Centers for Medicare & Medicaid Services (CMS) released the 2022 premiums, deductibles and other key information for Medicare Advantage and Part D prescription drug plans in advance of the annual Medicare Open Enrollment to help Medicare enrollees decide on coverage that fits their needs.
