On December 24, 2020 the Senate passed new legislation H.R.7898 - "To amend the Health Information Technology for Economic and Clinical Health Act (HITECH Act) to require the Secretary of…
Under Medicare, payments for services performed in provider-based facilities may be fifty (50) percent higher than payments for the same services performed in a freestanding facility. This increased cost is…
Five Types of Medicare Appeals in Part B There are five types of Medicare Appeals. The process differs slightly for Medicare Part A, Medicare Part B fee for service, Medicare…
What is the HITECH Act? An Introduction for the Layperson People who ask, "what is the HITECH Act?" want to understand how the Act impacts electronic health record use, privacy,…
September 10th 2020 is World Suicide Prevention Day. CDC data indicates that suicide and suicidal ideation is higher in men aged 18-24, essential workers, blacks, and Hispanics who never graduated…
Medicare Inpatient Rehabilitation Facility (IRF) Coverage Medicare Part A (Hospital Insurance) covers medically necessary care that insured patients receive in an inpatient rehabilitation facility or unit (‘ inpatient ‘rehab facility, IRF, acute care…
CPT Test Procedure Codes for COVID-19 Testing COVID-19 testing and diagnosis codes are an essential component to collecting and analyzing data to understand the pandemic. U.S. Health and Human Services…
Home Health, Attendant Care, Respite Care Coverage, Coding and Billing Federal Medicare Home Health Care PPS Dates to Balanced Budget Act of 1997 The 1997 Balanced Budget Act (BBA), amended…
Pharmacy Benefit Manager Drug Pricing and MAC Appeals - PBM MAC Appeals Pharmacy Benefit Managers drug pricing uses several metrics and Standards. Pharmacy Benefit Managers (PBMs) may use Maximum Allowable…
Integrated Medical Bill Review and Subrogation Integrated medical bill review combines silos into one solution. This article provides a summary of various strategies to determine the value of medical bills. Plaintiffs in…
Coronavirus Federal Regulation as of May 5, 2020 The Coronavirus Federal Regulation list as of May 5, 2020, is below. COVID-19 has spawned a massive amount of regulations. Strengthening Transparency…
Below is a list of coronavirus Federal legislation Coronavirus Federal Legislation continues as the Federal Government prepares to go $3 trillion into debt to fund emergency stimulus measures. As of…