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 Read more…
Chiropractors are eligible. On July 31, 2020, HHS announced that certain Medicare providers would be given another opportunity to receive additional Provider Relief Fund payments. These are providers who previously missed the June 3, 2020 deadline to apply for additional funding Read more…
Many providers have received a letter from Anthem indicating that the ratio and use of CMT codes 98941, 98942, and 98943 are above the average for the industry. If you received such it is an indication that your ratio is Read more…
The delayed update to the Advance Beneficiary Notice (ABN) has finally arrived. The revised form will be mandatory on August 31, 2020, with the older version acceptable until that date. The updated form and instructions can be found in the Read more…
Digital Coding subscribers there are now multiple COVID related forms available in the document library. This includes a comprehensive informed consent for patients to sign as well as detailed office safety procedures and protocols. Stay informed and assure you are Read more…
CMS will be making payments to Part B Medicare providers that do not require repayment. These payments appear to automatically appear in your account where Medicare makes your payments. These funds, unlike accelerated payments, will not need to be refunded. Read more…
Telemedicine Update for California Workers’ Compensation California workers’ compensation will pay for telemedicine visits. Providers should bill with an office visit code 99211 to 99215 with modifier 95. However, the place of service for California workers’ compensation claims would remain Read more…
CIGNA Virtual Care Guidelines In an effort to remove barriers for our customers to access timely and safe care, while ensuring that providers can continue to deliver necessary services in necessary settings, Cigna will allow providers to bill a standard Read more…
There is confusion relating to the ability to use and be reimbursed for telemedicine as some have interpreted improperly the payment policy for Anthem related to chiropractic and other licensed providers. For telephonic only there is exclusion of payment to Read more…
Providers who have patients that cannot make appointments due to need for isolation, quarantine, or social distancing may still need your management and when done as an online evaluation or phone call there are three code sets that may fit Read more…