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Monday Sep 20, 2021

Medicare announces influenza vaccine payment rates for 2021-2022

The payment allowances range from about $10 to $66, depending on brand and formulation.


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Posted at 11:45PM Sep 20, 2021 by Kent Moore | Comments [0]

Monday Sep 13, 2021

HHS offers another $25.5 billion in provider relief funds and more time to report

The funding includes $8.5 billion for those who serve rural areas and an additional $17 billion for Phase 4 of the COVID-19 Provider Relief Fund.


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Posted at 11:45PM Sep 13, 2021 by Kent Moore | Comments [0]

Tuesday Aug 24, 2021

CMS expands Medicare payments for at-home COVID-19 vaccines

Clinicians will now be able to receive an enhanced payment up to five times when they administer COVID-19 vaccines to multiple residents of the same house.


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Posted at 11:45PM Aug 24, 2021 by Kent Moore | Comments [0]

Thursday Aug 19, 2021

How to code third doses of COVID-19 vaccines

The CDC has recommended third doses of the Pfizer and Moderna shots for people who are moderately to severely immunocompromised.


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Posted at 11:45PM Aug 19, 2021 by Erin Solis | Comments [0]

Saturday Aug 07, 2021

How to request a review of your MIPS 2022 payment adjustment

Disagree with your MIPS score and corresponding payment adjustment? You have until Oct. 1 to request a review.


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Posted at 11:45PM Aug 07, 2021 by Kent Moore | Comments [0]

Friday Aug 06, 2021

CMS releases 2022 payment adjustments for 2020 MIPS performance

The Merit-based Incentive Program System final scores for 2020 performance reflect changes put in place because of the COVID-19 pandemic.


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Posted at 11:45PM Aug 06, 2021 by Kent Moore | Comments [0]

Thursday Aug 05, 2021

New surprise billing rule takes effect soon. Find out if it applies to you

The rule applies to emergency services, as well as non-emergency care by out-of-network physicians working at in-network facilities.


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Posted at 11:45PM Aug 05, 2021 by Erin Solis | Comments [0]

Wednesday Aug 04, 2021

Major insurer reviewing, downgrading some E/M codes for outlier physicians

Claims will be selected from physicians who code at higher E/M levels compared to their peers with similar risk-adjusted patients.


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Posted at 11:45PM Aug 04, 2021 by Erin Solis | Comments [0]

Sunday Aug 01, 2021

New diagnosis codes are coming. Here are some family physicians should know

The Centers for Disease Control and Prevention has released this year’s slate of changes. Start preparing now, so your claims can be paid smoothly.


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Posted at 11:45PM Aug 01, 2021 by Kent Moore | Comments [0]

Monday Jul 26, 2021

CMS releases 2022 Medicare physician fee schedule and QPP proposals

The proposed rule has implications for telehealth, vaccine administration payment, and work RVUs, among other things.


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Posted at 11:45PM Jul 26, 2021 by Kent Moore | 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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