medical billing services

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Maximizing Support to Medicaid and CHIP during COVID-19

https://www.medicalbillersandcoders.com

Trump Administration on 22nd April 2020, released new tools to strip away regulatory red tape and unleash new resources to support state Medicaid and Children’s Health Insurance Programs (CHIP) during the 2019 Novel Coronavirus (COVID-19) outbreak. 

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CMS Guidance for Laboratories during COVID-19 Emergency

https://www.medicalbillersandcoders.com

CMS is committed to taking critical steps to ensure America’s clinical laboratories are prepared to respond to the threat of 2019 Novel Coronavirus (COVID-19) and other respiratory illnesses to ensure reliable testing as well as ensuring patient health and safety. 

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Re-opening Facilities to Provide Non-emergent Non-COVID-19 Healthcare

https://www.medicalbillersandcoders.com

The maximum use of all telehealth modalities is strongly encouraged. However, for care that cannot be accomplished virtually, these recommendations — the first in a series of recommendations — may guide healthcare systems and facilities as they consider resuming in-person care of non-COVID-19 patients in regions with a low incidence of COVID-19 disease.

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Prior authorization (PA) Policy Changes related to COVID-19

https://www.medicalbillersandcoders.com

PA for COVID-19 treatment follows the same protocols as any other illness based on place of service and plan coverage; PA generally not required for routine office, urgent care, and emergency visits.

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Revised Private Payer Policies during COVID-19 Pandemic

https://www.medicalbillersandcoders.com

Medical Billers and Coders (MBC) is closely monitoring private payer policies regarding the COVID-19 pandemic. The following policy details are based on information from each payer’s respective website. Policies are changing rapidly. Your local provider representatives may have updated information.

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Medicare Fee-for-Service (FFS) Billing for COVID-19 Specimen

https://www.medicalbillersandcoders.com

In general, the Social Security Act (the Act) requires that the Secretary establish a nominal fee for specimen collection for laboratory testing and a fee to cover transportation and personnel expenses (generally referred to as a travel allowance) for trained personnel to collect specimens from homebound patients and inpatients (not in a hospital).

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Medicare Billing for Ambulance Services during COVID-19 Pandemic

https://www.medicalbillersandcoders.com

To provide ground ambulance providers and suppliers the flexibility to furnish medically necessary emergency and non-emergency ambulance transports for beneficiaries during the PHE for the COVID-19 pandemic, CMS is temporarily expanding the list of allowable destinations for ground ambulance transports.

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Using Telehealth in Response to COVID-19

https://www.medicalbillersandcoders.com

Telehealth can address COVID-19 and other epidemic situations by limiting exposure to infection for vulnerable populations and health care workers. Telehealth can also expand the reach of resources to communities that have limited access to needed services. 

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Billing Guidelines for Medicare Telehealth Services

https://www.medicalbillersandcoders.com

Medicare telehealth services include many services that are normally furnished in-person. CMS maintains a list of services that may be furnished via Medicare telehealth.

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FAQs on Medicare Billing for Physicians in COVID-19 Pandemic

https://www.medicalbillersandcoders.com

CMS is revising certain Medicare regulations to ensure that sufficient health care items and services are available to meet the needs of individuals enrolled in the Medicare program during the public health emergency (PHE) resulting from the COVID-19 pandemic.

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