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Tuesday Jun 15, 2021

Medicare adds bonus for some at-home COVID-19 vaccine administrations

Effective June 8, Medicare will pay an additional $35 per dose for administering the COVID-19 vaccine in the home for certain patients.


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Posted at 11:45PM Jun 15, 2021 by FPM Editors | Comments [0]

Friday May 21, 2021

Medicare offers additional QPP reporting relief

CMS recently announced that it will automatically reweight the cost performance category for the Merit-based Incentive Payment System in performance year 2020.


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Posted at 11:45PM May 21, 2021 by Erin Solis | Comments [0]

Thursday May 06, 2021

How to get paid if a patient’s health plan doesn’t cover the COVID-19 shot

While most health plans are required to cover the cost of administering the COVID-19 vaccine without cost-sharing, there are a few exceptions.


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Posted at 11:45PM May 06, 2021 by Erin Solis | Comments [0]

Wednesday Apr 28, 2021

Medicare contractors recouping advanced COVID payments from clinicians with same taxpayer ID number

CMS has instructed the MACs to use the taxpayer ID number for the recoupment of the advanced payment regardless of which provider transaction access number received the payment.


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Posted at 11:45PM Apr 28, 2021 by Kent Moore | Comments [0]

Thursday Apr 22, 2021

CMS innovation center to end CPC+ alternative payment model for all participants this year

The model was previously scheduled to end this year for participants who joined in 2017, but not until a year later for those who joined in 2018.


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Posted at 11:45PM Apr 22, 2021 by Kate Freeman | Comments [0]

Thursday Apr 22, 2021

CMS to give physicians information on CCM billing patterns

The agency will issue Comparative Billing Reports that compare an individual physician’s CCM billing practices with the billing practices of that physician’s peers and national averages.


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Posted at 11:45PM Apr 22, 2021 by Kent Moore | Comments [0]

Monday Apr 19, 2021

Tips to streamline workflow and increase likelihood of coverage for CGM

Save time and ensure payment for continuous glucose monitoring with these tips.


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Posted at 11:45PM Apr 19, 2021 by FPM Editors | Comments [0]

Thursday Apr 01, 2021

Medicare claims may be delayed in April, as Congress mulls postponing cut

Medicare claims may be delayed as contractors hold them rather than process them with the 2% cut only to have to then reprocess them if the U.S. House of Representatives reverses the cut.


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Posted at 11:45PM Apr 01, 2021 by FPM Editors | Comments [0]

Thursday Mar 18, 2021

When and how to count data under the revised E/M office guidelines

When the new rules for evaluation and management office visits went into effect at the beginning of the year, they immediately caused confusion about how to count “data” to determine the level of medical decision making.


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Posted at 11:45PM Mar 18, 2021 by FPM Editors | Comments [0]

Thursday Mar 18, 2021

Primary Care First alternative payment model applications open, deadline in April

The Primary Care First model offers a multi-payer system for practices ready to take on more risk through payments based on utilization and outcomes.


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Posted at 11:45PM Mar 18, 2021 by Kate Freeman | Comments [0]

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The views expressed here do not necessarily reflect the opinions of FPM or the AAFP. Some payers may not agree with the advice given. This is not a substitute for current CPT and ICD-9 manuals and payer policies. All comments are moderated and will be removed if they violate our Terms of Use.

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