Individual and Group Market health plans: From Feb. 4, 2020 through the national public health emergency period, currently scheduled to end April 20, 2021, UnitedHealthcare is waiving cost sharing for [...]
To further support clinicians during the COVID-19 Public Health Emergency (PHE), CMS extended the 2020 Merit-based Incentive Payment System (MIPS) Extreme and Uncontrollable Circumstances Exception application deadline to February 1. [...]
For several months, the CAP had urged Congress to enact additional relief to alleviate the effects of the coronavirus pandemic and further support pathologists and laboratories. In year-end legislation that [...]
In response to the COVID-19 public health emergency, new ICD-10 codes are effective January 1, 2021: 21 procedure codes (ICD-10-PCS): CMS will implement new codes to describe the introduction or [...]
The latest package of NCCI Procedure-to-Procedure (PTP) edits, Version 27.1 effective April 1, 2021, will be available via the CMS Virtual Data Center (VDC). A test file will be available [...]
This article provides information regarding the addition of the QW modifier to the following CMS HCPCS codes: 87811 [Infectious agent antigen detection by immunoassay with direct optical (i.e., visual) observation; [...]
Part of the COVID-19 relief bill passed by Congress on December 21, 2020 includes a provision on surprise medical billing starting in 2022. This measure helps in situations where patients [...]
Medicare payment amounts for COVID-19 tests, including nationally priced and Jurisdiction J and M Palmetto GBA contractor-priced codes, are now posted on the Palmetto GBA websites. This list includes Medicare payment [...]
In response to the national emergency that was declared concerning the COVID-19 outbreak, the Centers for Disease Control and Prevention’s (CDC) National Center for Health Statistics (NCHS) is implementing six [...]
Novitas solutions LCD for biomarkers for oncology have been revised for Jurisdiction H, L. Customers who bill for oncology biomarkers need to be aware of LCD revision so they are [...]