We’ve assembled the latest news for healthcare revenue cycle leaders to help you stay on top of industry challenges and adapt your revenue cycle management services.
CMS Addresses Coverage for PrEP Drugs
CMS has released a fact sheet on Preexposure
Hospice Payment Rate Update Final Rule For Fiscal Year 2023
The Centers for Medicare & Medicaid Services (CMS) issued a final rule (CMS-1773-F) that updates Medicare hospice payments wage index, quality reporting programs, and policies for Fiscal Year (FY) 2023 in accordance with existing statutory and regulatory requirements. Here’s a summary of the key provisions, which are effective October 1, 2022:
CMS to Implement Claim Edit for Hospice Transfers
Effective July 1 2022, a claims processing edit to prevent gap billing between hospice transfers will be implemented. Per Change Request (CR) 12619 Gap Billing Between Hospice Transfers, a patient can change hospices only once per benefit period (60-day or 90-day). When the patient transfers to a different hospice, he or she continues in the same benefit period. To transfer hospice programs, the individual or representative must file, with the hospice from which care has been given and with the newly designated hospice, a statement that includes the following information:
Home Health Payment System Final Rule For Calendar Year 2022
The Centers for Medicare & Medicaid Services (CMS) issued a rule that finalizes a nationwide expansion of the successful Home Health Value-Based Purchasing (HHVBP) Model and makes updates to the Medicare Home Health Prospective Payment System (PPS) and the home infusion therapy services payment rates for Calendar Year (CY) 2022, in accordance with existing statutory and regulatory requirements.
An Introduction to the 2022 CPT Code Set Changes for Medical Coding Services
New CPT code sets can pose challenges for medical coding companies, so we want to provide you with an overview of the new CPT codes that are being introduced for 2022.
