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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]

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]

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]

Tuesday Jul 06, 2021

First reporting period for Provider Relief Funds now open

Recipients of one or more payments exceeding $10,000 total during the first payment period are required to report the use of those funds during the current reporting period.


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

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]

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]

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]

Wednesday Mar 17, 2021

CMS raises payment for COVID-19 vaccine administration

The increase, which the American Academy of Family Physicians and other groups advocated for, reflects the additional resources and work required to safely store and administer the vaccines.


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Posted at 11:45PM Mar 17, 2021 by Erin Solis | 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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