UnitedHealthcare’s COVID-19 Response – Update Telehealth Throughout the public health emergency (currently set to end on January 20, 2021), UHC is extending the cost share waiver for COVID-19 in-network telehealth services. UHC will also waive cost share for COVID-19 treatment until December 31, 2020. For out-of-network services, the cost share for COVID-19 testing […]
THE AMERICAN MEDICAL ASSOCIATION RELEASES NEW CPT CODES SURROUNDING THE COVID-19 PANDEMIC
Over the last several months, the COVID-19 Pandemic has changed the course of the medical industry and The American Medical Association has approved new CPT codes for use during the COVID-19 public health emergency. Two new Category I CPT Codes were announced on September 8, 2020 for immediate use to meet the rapidly changing needs […]
First Enforcement Action for Improper Marketing of SARS-CoV-2 Antibody Tests (JUNE 25, 2020)
After initially allowing producers of serologic SARS-CoV-2 antibodies tests free access to the market, the US Food and Drug Administration (FDA) is now cracking down on unproven and inaccurate tests. No More Mr. Nice Guy The turning point came in early May when, in response to heavy criticism and a scathing Congressional investigational report, the […]
UnitedHealthcare Extends National Public Health Emergency Temporary Program Changes
UnitedHealthcare recognizes that the persistence of COVID-19 cases across the country continues to have an impact on the healthcare system – both for COVID-19-related care as well as for regular preventive visits. To provide ongoing support to members and providers, UnitedHealthcare is extending many of the COVID-19 temporary program, process and coverage changes through Oct. […]
CMS Announces Additional HCPCS Codes Related to Lab Testing for Covid-19
On February 13, 2019 The Centers for Medicare & Medicaid Services issued an alert to ensure that patients have access to laboratory testing in response to the threat of Novel Coronavirus (COVID-19). CMS issued a new HCPCS code (U0001). This new code is for labs utilizing the Centers for Disease Control and Prevention (CDC) 2019 […]
Why You Need to Embrace Electronic Medical Records For Your Clinic
The healthcare sector is fast moving towards adopting electronic management of medical records. The move to digital management of records is not only beneficial to the patient but also the healthcare providers. Moving from a manual system of doing things to the digital platform is initially daunting for anyone, but it is worth all the […]
Top Challenges Facing Labs Today: 4 Key Takeaways From Lab Institute 2017
Representatives of Physicians Group Management (PGM Billing) recently returned from attending and exhibiting at Lab Institute 2017. This meeting, hosted by G2 Intelligence, brings together professionals from throughout the lab industry for three days of education and networking. In this ever-changing, ever-evolving healthcare environment, many sessions focused on the top challenges facing laboratories. Here are […]
Medicare Provides Guidance on Laboratory Services Consolidated Billing
When laboratory services are billed by providers other than the end-stage renal disease (ESRD) facility and the laboratory service furnished is designated as a service that is included in the ESRD Prospective Payment System (PPS), Medicare will reject or deny the claim. This is according to recent issue of Medicare Quarterly Provider Compliance Newsletter, a […]
Medicare Provides Guidance on Facet Joint Injection Billing
Medicare has found that insufficient documentation is a common cause for improper payments for facet joint injection procedures. This is according to a recent issue of Medicare Quarterly Provider Compliance Newsletter, a newsletter from CMS developed to help providers to avoid common billing errors and other erroneous activities when dealing with the Medicare Program. The […]
CMS Publishes January 2017 Medical Billing Errors Newsletter
The Centers for Medicare & Medicaid Services has published its latest Medicare Quarterly Provider Compliance Newsletter, which provides guidance to address medical billing process errors. The newsletter is designed to identify common billing errors and other erroneous activities when dealing with the Medicare Fee-For-Service (FFS) Program. Topics discussed in the January 2017 issue include the […]