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Providers will need to act to receive their share of $20B relief fund

05/04/2020

Starting April 24, a second wave of relief payments — totaling $20 billion — is on its way to health care providers and hospitals. But take note: To access and keep the relief funds, providers must verify their 2018 payment receipts with the federal government.

89% of practices report steep decline in patient volume: Survey

05/04/2020

by: Richard Scott

The financial fallout of the ongoing COVID-19 public health emergency (PHE) continues to plague frontline medical practices, with nearly nine out of 10 groups reporting “large decreases” in patient volumes.

Be careful of HHS’ terms and conditions behind your provider relief payment

04/27/2020

by: Roy Edroso

You may be excited about the money you’re expecting — or have already received — from the feds from the Provider Relief Fund program. But be aware that you’re required to attest to certain terms and conditions, and not all of them are obvious.

Large telehealth denials should prompt practices to review evolving billing rules

04/27/2020

by: Jim Dresbach

While you may be flying by the seat of your pants in your office or from a remote telework location, that shouldn’t stop you from buckling down to get the most reimbursement possible for your practice. Those who dole out reimbursements passed along some unwelcome news in recent days, and reports have shown coders are having a difficult time navigating paper telehealth insurance claim forms.

CMS lets MA providers do telehealth risk adjustment; tight documentation advised

04/27/2020

by: Roy Edroso

Medicare Advantage (MA) providers can now do risk adjustment by telehealth, but you are advised to tighten up on your documentation and not go further than good judgment allows.

Continuing presence of coronavirus brings new obligations related to OSHA

04/27/2020

by: Tammy Binford

As employers begin looking beyond the immediate effects of the COVID-19 pandemic and start thinking of bringing people back to work, they will be wise to realize the new virus means permanent changes related to their obligation to provide a safe workplace.

Enrollment growth slows, but ‘Welcome to Medicare’ rises steadily

04/27/2020

by: Roy Edroso

Though the rate of Medicare enrollment growth has slowed, the Initial Preventive Physical Examination (IPPE) meant to welcome patients to the program continues to grow steadily.

Be careful with HIPAA under OCR’s ‘good faith’ telehealth provision; you may face future risk

04/20/2020

by: Roy Edroso

The expanded use of telehealth is a big part of the government’s arsenal against COVID-19, and the HHS Office for Civil Rights’ (OCR) enforcement discretion statement seems to open up a whole new world of options for providers and patients.

Cash infusion: Practices to receive immediate 6% bonus on 2019 Medicare fees

04/20/2020

by: Richard Scott

Medical practices on the front lines of the COVID-19 crisis can expect an immediate cash payment from the federal government, as pieces of the $2.2 trillion stimulus plan start taking effect.

At town hall, AMA leaders blast coronavirus missteps, offer supply solutions

04/20/2020

by: Jim Dresbach

While Americans abide by stay-at-home orders, leaders from the AMA recently addressed the nation and fellow frontline providers in advocating for the nation’s health care workers.

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