Billing News Dec 2022
Omnibus Bill Which Could Avert Pending Medicare Cuts, Passed by Senate and House, Awaiting Signature by the President
On December 23, the House of Representatives passed an amended version of the $1.7 trillion Omnibus appropriations bill which passed the Senate on December 22. That same day, Congress passed a short-term bill to keep the government open which moves the funding deadline to December 30. This will allow time for the more than 4,100-page legislation...
New Bill Could Avert Pending Medicare Cuts
On December 20, the House and Senate Appropriations Committees released the 2023 Omnibus Appropriations Bill, which would fund the government through September 30, 2023. If passed, the new legislation could provide relief to the anticipated 2023 Medicare Cuts. Key provisions included in the bill include: Lifting the 4% Pay-As-You-Go...
CMS Delays No Surprises Act Good Faith Estimate Requirements for Co-Providers
In December, CMS issued an FAQ, delaying the requirement that the good faith estimate include cost estimates from co-providers and co-facilities starting January 1, 2023, as outlined in the No Surprises Act. Q1: Will CMS enforce the requirement that GFEs for uninsured (or self-pay) individuals include cost estimates from co-providers and co...
PAMA Regulations - Clinical Diagnostic Laboratories: Report Private Payor Rate Data Beginning January 1
The next data reporting period is January 1, 2023 through March 31, 2023, will be based on the original data collection period of January 1, 2019 through June 30, 2019.
Monkeypox to be renamed by WHO; ‘mpox’ will phase in over next year
The World Health Organization said on Monday it will begin using a new preferred term “mpox” as a synonym for the disease. Both names will be used simultaneously for one year while “monkeypox” is phased out, WHO said in a statement.
US Food and Drug Administration Releases Templates for Monkeypox Antigen Test Development
The US Food and Drug Administration on Tuesday expanded its library of guidance for monkeypox test developers by releasing two templates for development of antigen tests for monkeypox infection, following the publication earlier this year of a pair of templates for molecular test development.
UHC - Long-Term Wearable Electrocardiographic Monitoring - MPG109.12
Medicare Advantage Revision updates include: effective 11/9/2022 ICD-10 Diagnosis Codes For CPT Codes 93228 and 93229 Added I25.112, I25.702, I25.712, I25.722, I25.732, I25.752, I25.762, I25.792, I34.81, I34.89, I47.20, I47.21, I47.29, and Z79.85 Added notation to indicate I34.8 and I47.2 were “deleted Sep. 30, 2022” For CPT Codes 93268, 93270...
HHS to maintain COVID-19 public health emergency past January
The U.S. will extend the COVID-19 public health emergency past January 11, 2023. A 12th extension of the PHE since the first in January 2020 is also likely because of a lack of public statement from HHS warning about a termination. The agency last renewed the PHE Oct. 13 for an additional 90 days to Jan. 11, 2023 — it also told states it would...
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