Sequestration reductions are back and will reduce Medicare payments by 1% for dates of service from April through June. The 2% reduction will resume for services on July 1, 2022, and after. This sequestration does not affect Medicare Advantage payments or VA payments. The Protecting Medicare and American Farmers from Read more…
Sam Collins our billing expert provides a short presentation on these current letters discussing the utilization of 98941 and 98942 (Anthem and Medicare most commonly) as well as the use of modifier 59. How should you interpret and what steps should you do proactively. Click here to view.
The Chiropractic Medicare Coverage Modernization Act (H.R. 2654) would allow Medicare beneficiaries access to the chiropractic profession’s broad-based, non-drug approach to pain management, which includes manual manipulation of the spine and extremities, evaluation and management services, diagnostic imaging, and utilization of other non-drug approaches that have become an important strategy Read more…
BUSINESSES The Supreme Court struck down the OSHA established vaccine mandate for businesses with more than 100 employees. This ruling eliminates this specific requirement. HEALTHCARE WORKERS Although the Supreme Court upheld the mandate for healthcare workers, HHS narrowly defined those to which the mandate applied. The HHS definition is narrow Read more…
Medicare has now released the fee schedule 2022 that adheres to the recent Congressional change made in S.610. This means that Medicare rates were increased about 2-3% from 2021. Network members are welcome to reach out for the fees for your region.
As has happened in years past the initial cuts to Medicare have been delayed. In a whirlwind of activity at the end of the year, both the House and Senate passed S.610, which addresses the looming Medicare payment cuts. This means that the cuts have now been delayed, but only Read more…
If you are providing Telemedicine services (live synchronous audio and video) with your patients there is an update for the place of service (POS) in 2022. There is now an additional POS to further delineate the patient’s location whether their home or other location. The POS Workgroup is revising the Read more…
CMS announced on November 12, 2021, that the 2022 deductible for Medicare Part B will be $233. This represents a $30 increase from the 2021 deductible. For chiropractic claims the only services that apply towards deductible are spinal manipulation. All other services done by a chiropractor are not covered by Read more…
The Medicare Advance Beneficiary Notice (ABN) form has had an update to the instructions on how the form is to be used. The form itself has not been updated from the revised version published this year with the expiration of Jun 2023. The Medicare ABN is required as a notice Read more…
As occurs every October 1 there are additions and deletions to the ICD10 code set that is effective on October 1, 2021. Though these are 2022 codes the effective date is October 2021. There are now 72, 748 ICD10 diagnosis codes, and this year there were 159 new codes added Read more…