top of page
PPP Act Amended with More Favorable Terms
As expected, the Senate passed the bipartisan Paycheck Protection Flexibility Act (the “Act”). After President Trump signs the Act,...
Jun 5, 2020
The Catastrophe Related Modifier
On June 1, 2020, CMS issued instructions for using the “CR” (catastrophe related) modifier and “DR” (disaster related) condition code. 1....
Jun 1, 2020
HHS Calculations for the $20 Billion in Relief Funds
I recently received a copy of a letter from HHS to a provider regarding the formula HHS is using to determine how much money each...
Jun 1, 2020
SBA Clarifies PPP Loan Forgiveness Rules
The SBA has released new guidance regarding forgiveness of the funds received under the Paycheck Protection Program (“PPP”), along with...
May 23, 2020
Keeping Relief Funds: HHS Liberalizes Balance Billing
1. Clarification on Not Balance Billing to Keep HHS Relief Funds. If you received and kept the HHS Relief Funds, you had to attest to...
May 13, 2020
IRS Denies Tax Deduction for PPP Expenses
1. IRS Disallows PPP Expense Deduction. The IRS clarified an ambiguity in the CARES Act (“the Act”) which fails to address whether you...
May 6, 2020
Update: Billing Specimen Collection for COVID-19
Since our previous article on the new COVID-19 codes, CMS has released updated guidance related to specimen collection for COVID-19....
May 5, 2020
More Money for Telehealth Telephone Calls
1. New Interim Final Rule. HHS published a new Interim Final Rule (the “Rule”) yesterday with retroactive dates to March 1, 2020. 2. ...
May 1, 2020
New Codes & Reimbursement for COVID-19 Testing
Some of you have been requesting how to bill for the COVID-19 lab tests. There are 9 new and 2 revised CPT and/or HCPCS codes recently...
Apr 28, 2020
New Relief Fund FAQs
Some of you have asked how to calculate the amount of lost revenues for March and April 2020 when applying for your share of the...
Apr 27, 2020
Update on the New $20 Billion in Relief Funds
1. Update. On Friday, April 24, 2020, HHS created the web portal and User Guide for providers to obtain their portion of the new $20...
Apr 26, 2020
COVID-19 HIPAA Guidance
On Friday, April 24, 2020, the Office for Civil Rights (“OCR”) hosted a webinar on HIPAA privacy and security issues related to COVID-19....
Apr 24, 2020
Another $20 Billion in Relief Funds
1. $20 Billion More. More Relief Fund money is being distributed by HHS. The CARES Act authorized $100 billion to be distributed to...
Apr 24, 2020
New HHS Guidance on Relief Funds
Relief Funds New Guidance. As anticipated, HHS has provided sorely needed clarity regarding the Terms and Conditions to which one must...
Apr 14, 2020
Surprise Money; Strings Attached
1. Overview. Most of you woke up this past Friday to the unexpected surprise of having tens of thousands, if not hundreds of thousands,...
Apr 11, 2020
Updated FAQs on Paycheck Protection Program
The Treasury Department and SBA released an updated FAQ yesterday relating to the Paycheck Protection Program (“PPP”). This article...
Apr 9, 2020
Obtaining Advance Payments for Future Claims from Medicare
1. Overview. In order to increase cash flow to providers of services and suppliers impacted by COVID-19, CMS has expanded its current...
Apr 9, 2020
SBA Issues Interim Final Rule on Paycheck Protection Program
1. Issued Yesterday. Late yesterday the SBA released its Interim Final Rule (the “Rule”) on the Paycheck Protection Program (“PPP”). ...
Apr 3, 2020
Medicare Now Allows Telephone Calls but Payment is Poor
The new Interim Final Rule promulgated by CMS on March 30 and retroactive to March 1 now allows, during the COVID-19 pandemic, payment...
Apr 2, 2020
New CMS Rule on How to Document Telehealth E/M Visits
1. Overview. In the official CMS Interim Final Rule (the “Rule”) published on March 30, and retroactive to March 1, 2020, CMS outlines...
Apr 1, 2020
Medicare Reverses Course on Telehealth
1. Overview. Medicare has reversed course on the place of service (“POS”) for telehealth (and the use of modifiers) which will cost you...
Apr 1, 2020
The Paycheck Protection Program under the CARES Act
1. Effective Date. The President signed the CARES Act into law on March 27, 2020. One component of this Act is the Paycheck Protection...
Mar 31, 2020
Anesthesia Billing Scenarios for COVID-19 Patients
Due to the recent request by CMS that hospitals suspend elective surgeries, case volumes are expected to be seriously impacted. Some...
Mar 22, 2020
DEA Issues Telehealth Waiver for Controlled Substances
The DEA has issued a waiver on using telehealth for controlled substances during the COVID-19 public health emergency. The DEA’s website...
Mar 20, 2020
bottom of page
