HHS distributing stimulus payments to Medicare providers
As part of $30 billion in relief funding approved under the CARES ACT, Medicare providers and facilities began receiving a direct deposit stimulus payments from the Department of Health and Human Services on Friday. The amount will be roughly one month of Medicare...
UHC announces limitation for non-patient lab reimbursements
UnitedHealthcare has announced it will begin limiting reimbursements for hospitals acting as reference labs or conducting diagnostic testing on non-patients, according to a recent bulletin issued to providers. RELATED: Understanding and Navigating MUE and PTP Billing...
Identifying and preventing health care fraud
Instances of health care fraud account for billions of dollars of lost revenue a year throughout the industry. Without the correct safeguards installed to help identify and end fraudulent practices, health care providers could face investigations and penalties that...
Uncertain diagnosis terminology gets update for ICD-10 2020
The FY2020 ICD-10 guidelines, which went into effect October 1, included the addition of “compatible with” or “consistent with” to terminology that cannot be used to indicate uncertain diagnosis for outpatient services. In the guidelines, CMS states the following: “Do...