Category Archives: CMS Update

Major Changes to the Medicare Claims Processing Manual, Ch. 12

CMS issued Transmittal 11842 which brings about some significant changes to the manual. CMS is revising the [...]

CMS Releases New Fraud & Abuse Online Course

Look closely at your commercial contracts.  It is very likely it requires providers and staff [...]

Transvenous (Catheter) Pulmonary Embolectomy – Possible Removal of the NCD

Currently, Transvenous (Catheter) Pulmonary Embolectomy is not covered by Medicare as it is still considered [...]

The No Surprises Act – CMS Notice and Consent Forms

Recently the Departments of Health and Human Services (HHS), Labor, and Treasury issued Part I [...]

CMS Expands OPD Prior Authorization Requirements

As announced in the OPPS Final Rule, effective with July 1, 2021 dates of service, [...]

Hospital Admission Codes Removed from Telehealth List

Centers for Medicare and Medicaid Services issued a correction notice on Thursday March 18, in [...]

Financial Increases for COVID-19 Vaccine Administration

Centers for Medicare & Medicaid Services (CMS) announced a reimbursement increase for administering the COVID-19 [...]

G2211 delayed until 2024

The Consolidated Appropriations Act, 2021 has modified the Medicare Physician Fee Schedule (MPFS).  Two major [...]