The U.S. Centers for Medicare & Medicaid Services (CMS) had announced in August 2022 to only bill for monkeypox & smallpox vaccine administration when you got the vaccine at no cost from the government. CMS has now clarified that the correct instructions are to include these 3 elements on your claim, even if you get the vaccine from the government for free:
The Centers for Medicare & Medicaid Services (CMS) issued the fiscal year (FY) 2023 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) final rule (CMS-1771-F).
With the challenges hospital leaders are facing today, hospital revenue cycle outsourcing should always be on the table. This is because of the benefits it offers in terms of flexibility and helping you stay ahead of challenges in hospital billing services. But these dynamics change quickly. This is why we want to present you with updates for 2022 and what you should understand about outsourcing hospital billing services today.
After implementing the 2020 Medicare Physician Fee Schedule Final Rule provision, which included revisions to the Evaluation and Management (E/M) office visit Current Procedural Terminology (CPT) (99201-99215) code descriptors and documentation standards that directly addressed the continuing problem of administrative burden for physicians in nearly every specialty, from across the country, the CPT Editorial Panel approved, for 2023, additional revisions to the rest of the E/M code section. Here’s a summary of revisions: