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PHE Expense Code is Being Paid
Previously I reported that on September 8, 2020, the AMA adopted a new CPT code, 99072, to capture additional PHE expenses. The first...
Oct 1, 2020
Recent Large HIPAA Settlements
1. Settlements in Excess of $1mm. There have been two HIPAA settlements in excess of $1mm released by the OCR in the past 3 days, and...
Sep 24, 2020
Update of Provider Relief Fund Reporting Requirements
On September 19, 2020, the Department of Health and Human Services (“HHS”) released a six-page document with updated information on your...
Sep 21, 2020
New CPT Code for PHE Expenses
1. Effective Date. Effective September 8, 2020, the AMA created a new CPT code for use in the office (not facility) during the PHE...
Sep 17, 2020
HIPAA: Windows 7
You need to bail out of Windows 7 if you haven't done so already. On January 14, 2020, Microsoft ended support for Windows 7, which...
Aug 14, 2020
HIPAA Settlement: $1,040,000
The OCR issued a press release yesterday outlining the terms of a settlement with a hospital system in Rhode Island for $1,040,000...
Jul 28, 2020
No Telehealth Billing Out of the "United States"
Recently a client who was going to be traveling to the UK wanted to know if he could conduct and bill telehealth phone calls while in the...
Jul 24, 2020
Mandatory New ABN Form
Effective 8/31/20, you must begin using a newly approved CMS ABN form. The ABN form changes approximately every 3 years, and you cannot...
Jul 6, 2020
You Can Still Apply for a PPP Loan
If you have not applied for your PPP loan, you still have a month to do so. Originally, the PPP loan application process was slated to...
Jul 6, 2020
CS Modifier - Cost Sharing Waiver
On May 27 and June 16, CMS updated its FAQs regarding COVID-19 billing. The most important updates relate to the CS modifier, but there...
Jun 19, 2020
Quarterly Reports Delayed for HHS Relief Funds
On June 13, HHS updated its FAQs with information regarding the quarterly reporting required for the Provider Relief Funds. For now,...
Jun 17, 2020
Quarterly Reports Due on PPP/HHS Funds
The purpose of this article is to remind you that if you received PPP funds or HHS Relief funds in excess of $150,000 (per TIN), you are...
Jun 8, 2020
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
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