1. $20 Billion More. More Relief Fund money is being distributed by HHS. The CARES Act authorized $100 billion to be distributed to...

Relief Funds New Guidance. As anticipated, HHS has provided sorely needed clarity regarding the Terms and Conditions to which one must...

1. Overview. Most of you woke up this past Friday to the unexpected surprise of having tens of thousands, if not hundreds of thousands,...

The Treasury Department and SBA released an updated FAQ yesterday relating to the Paycheck Protection Program (“PPP”). This article...

1. Overview. In order to increase cash flow to providers of services and suppliers impacted by COVID-19, CMS has expanded its current...

1. Issued Yesterday. Late yesterday the SBA released its Interim Final Rule (the “Rule”) on the Paycheck Protection Program (“PPP”). ...

The new Interim Final Rule promulgated by CMS on March 30 and retroactive to March 1 now allows, during the COVID-19 pandemic, payment...

1. Overview. In the official CMS Interim Final Rule (the “Rule”) published on March 30, and retroactive to March 1, 2020, CMS outlines...

1. Overview. Medicare has reversed course on the place of service (“POS”) for telehealth (and the use of modifiers) which will cost you...

1. Effective Date. The President signed the CARES Act into law on March 27, 2020. One component of this Act is the Paycheck Protection...

Due to the recent request by CMS that hospitals suspend elective surgeries, case volumes are expected to be seriously impacted. Some...

The DEA has issued a waiver on using telehealth for controlled substances during the COVID-19 public health emergency. The DEA’s website...

1. Scope of Memo. Today, March 17, 2020, Medicare issued a blanket waiver relaxing ordinary telehealth requirements during the...

There have been 4 carriers who have previously published articles or sent emails stating that anesthesiologist's assistants ("AA") can be...

Approximately every five years, providers must revalidate their Medicare enrollment. The provider or group’s Medicare Administrative...

1. Standard Written Order. Effective January 1, 2020, changes have been made by CMS to ordering DME and orthotics, such as back braces....

1. Overview. Determining the level of 99201-99215 will be completely overhauled by both the AMA and CMS effective 1/1/2021 (not 2020). ...

This Article is designed to highlight the primary coding and billing changes affecting chronic pain in 2020. 1. CPT Code Changes. I...

The following is a synopsis of the material billing, coding, and documentation changes affecting anesthesia in 2020. 1. Reimbursement. ...

Back braces have been targeted for the past 5 years by Medicare. We have defended several audits denying back braces for very technical...

On July 22, 2019, the U.S. DOJ intervened in a False Claims Act case against a Tennessee pain group and its owners, and filed a 104-page...

CMS has finalized new policies for Medicare Part D plans to follow beginning January 1, 2019. These changes are in response to the opioid...

Chapter 15 of the Medicare Program Integrity Manual provides specific instructions as to who can sign initial Medicare credentialing...

Medicare has a new 855I Enrollment Application form. The 855I is for credentialing new physicians and NPPs (non-physician practitioners)...