The Functional Reporting requirements of reporting the functional limitation nonpayable HCPCS G-codes and severity modifiers on claims for therapy services and the associated documentation requirements in medical records have been discontinued, effective for dates of service on and after January 1, 2019. Beginning in 2021 any use will cause the claim to be denied though they Read more…
On December 27, the Consolidated Appropriations Act, 2021 modified the Calendar Year (CY) 2021 Medicare Physician Fee Schedule (MPFS): Provided a 3.75% increase in MPFS payments for CY 2021 Suspended the 2% payment adjustment (sequestration) through March 31, 2021 Reinstated the 1.0 floor on the work Geographic Practice Cost Index Read more…
Medicare rates were to have been reduced by about 10% for all services other than E&M codes. However, due to the recent senate and congressional voting funding additional monies to Medicare this cut was averted and will only be about 5-6% instead of 10%. Unfortunately, due to the late rulings Read more…
CMS (Medicare) has released the 2021 deductible. The annual deductible for all Medicare Part B beneficiaries is $203 in 2021, an increase of $5 from the annual deductible of $198 in 2020. Medicare fees will be published before the end of the year however, it is likely the initially published Read more…
Medicare is scheduled to make a significant reduction in Medicare rates in 2021. All Medicare provider groups are forming a coalition to block these scheduled cuts and there are things that you may do. Several members of the House introduced H.R. 8702, the Holding Providers Harmless from Medicare Cuts During Read more…
New Guidance on Federal Relief Fund Specifically Mentions Chiropractors In guidance released late last week, the U.S. Department of Health and Human Services announced the latest Provider Relief Fund (PRF) application period has been expanded to include provider applicants such as residential treatment facilities, chiropractors, and eye and vision providers Read more…
Doctors of chiropractic are eligible for a new round of relief funds under the CARES Act. To meet eligibility providers must be enrolled in Medicare whether Par or Non-Par and have billed Medicare fee-for-service during the period of Jan.1, 2019-Mar. 31, 2020. You are eligible for these added funds regardless Read more…
2021 ICD10-CM Updates 2021 update 10-1-2020 72,616 Codes 490 Additions 58 Deletions 47 Revisions As occurs every October 1 there are additions and deletions to the ICD10 code set that is effective on October 1, 2020. Though these are 2021 codes the effective date is October 1 of the prior Read more…
September 15, 2020 – Shortly after releasing the 2021 Current Procedural Terminology (CPT) code set, the American Medical Association (AMA) added two more codes related to COVID-19, including one that accounts for the extra safety protocols providers are taking to care for patients during the global pandemic. CPT code 99072 is a new practice expense Read more…
The revised Medicare ABN mandatory use has now been delayed to January 1, 2021. It was originally slated for March 2020 but was initially delayed to August 31, 2020, but due to continuing COVID-19 concerns, CMS has expanded the deadline for use of the renewed ABN. You may begin using Read more…