CMS Now Requiring Payers to Cover At-Home Testing Effective January 15, 2022, patients with a health insurance plan can go online or to a pharmacy and purchase at-home COVID-19 tests at no cost. This will happen through reimbursement or free of charges through insurance. If a patient is required to pay for a test […]
January Bulletin – Billing Reminders for the New Year
Billing Reminders for the New Year Eligibility & Benefits With a new year comes new insurance policies for patients across the nation. It is important to remember that many plans change at the start of a new year so verifying benefits and eligibility is key to proper billing. While some patients keep the same insurance […]
December Bulletin – COVID-19 Updates
COVID-19 Updates Omicron Variant: What to Know On November 24, a new variant of the COVID-19 virus was reported to the World Health Organization (WHO). Two days later on November 26, the WHO classified the Omicron Variant as a “Variant of Concern.” The first detected cases were found in Botswana and South Africa and have […]
December Bulletin – CMS Billing Updates for 2022
CMS Billing Updates for 2022 Premiums, Deductibles & Coinsurance Changes In November, the Centers for Medicare & Medicaid Services (CMS) released the 2022 premiums, deductibles and coinsurance amounts for Medicare Part A and Part B. Each year to determine the Medicare Part B premiums, deductibles and coinsurance amounts, the Social Security Act is used and […]
October Bulletin – COVID-19 Vaccine Updates
COVID-19 Vaccine Updates Vaccines for Children In late September, Pfizer announced that the Phase 2/3 trial for children 5 to 11 showed that their COVID-19 vaccine was safe and generated a “robust” antibody response. The trial included more than 2.200 participants and used a two-dose regimen of the vaccine administered three weeks apart. This trial […]
October Bulletin – 2022 CPT Code Updates Announced
2022 CPT Code Updates Announced The American Medical Association made more than 400 changes to the Current Procedural Terminology (CPT) Code Set for 2022. The changes take effect January 1, 2021 and include 249 new codes, 63 deletions and 93 revisions. The 2022 CPT Code Set also includes 15 vaccine codes. These codes were created […]
September Bulletin – COVID-19 Updates – Part 2
COVID-19 Updates – Part 2 THE AMA ADDS CPT CODE FOR THIRD COVID-19 VACCINATION In mid-August, the American Medical Association announced the code set for the third doses of the Pfizer and Moderna COVID-19 vaccines. Below are the codes for both the Pfizer-BioTech & the Moderna vaccines: 91300: this is for the Pfizer vaccine only. For […]
September Bulletin – COVID-19 Updates – Part 1
COVID-19 Updates – Part 1 USFDA APPROVES FIRST COVID-19 VACCINE On August 23 the U.S. Federal Drug Administration approved Pfizer-BioNTech’s COVID-19 Vaccine. It will now referred to as Comirnaty (koe-mir’-na-tee), for the prevention of COVID-19 disease in individuals 16 years of age and older. The vaccine will be available for emergency use for individuals […]
AUGUST BULLETIN – THE COVID-19 DELTA VARIANT
The COVID-19 Delta Variant The SARS-CoV-2 B.1.617.2 (Delta) variant was discovered in India in late 2020 and it has since become the dominant strain in the United States. The Delta Variant is More Contagious The World Health Organization (WHO) has called the Delta Variant the “fastest and fittest” strain. The Centers for Disease Control and […]
August Bulletin – Billing Mistakes – Part III
BILLING MISTAKES – PART III Coding Ensuring your claims are coded correctly will prevent delays in payments and keeps your account cleaner. Below are common coding errors. Coding is not specific enough Each diagnosis must be coded to the highest level of specificity or insurance carriers may consider the diagnosis truncated. Diagnosis codes can be […]