Overview: Effective in 2022, the No Surprises Act protects people covered under group and individual health plans from receiving surprise medical bills when they receive most emergency services, non-emergency services from out-of-network providers at in-network facilities, and services from out-of-network air ambulance service providers. It also establishes an independent dispute resolution process for payment disputes […]
Medicare Clinical Laboratory Fee Schedule Private Payor Data Reporting – Delayed until 2023 The Protecting Medicare and American Farmers from Sequester Cuts Act delayed the Clinical Laboratory Fee Schedule private payor reporting requirement: Next data reporting period is January 1 – March 31, 2023 Reporting is based on the original data collection period, January 1 […]
Starting January 1, 2022, consumers will have new billing protections from receiving surprise medical bills for emergency services (including air ambulances) and non-emergency services provided at an in-network facility. Patients’ out-of-pocket costs will be limited to the costs they would have paid if they had received services from an in-network doctor, hospital, or other health […]
Here’s What’s Changing in 2022 With numerous changes on the horizon for 2022, Coronis Health can help make sure you stay informed. Medicare Part B Premium & Deductible Rate Increase The standard premium for Medicare Part B will be $170.10 next year, up $21.60 (14.5% increase) from $148.50 this year. The annual Medicare Part B […]
Even before the pandemic, many primary care providers were struggling with unsustainable practice costs and burnout. COVID-19’s disruption of the healthcare delivery system, however, poses additional challenges to primary care. According to a recent survey, facilities must adapt to shifting workflows, implementing new billing and coding practices, and building platforms for telehealth services—all while dealing […]
The Centers for Medicare & Medicaid Services (CMS) recently increased Medicare’s reimbursement rates for hospitals, pharmacies, physicians, and others for administering COVID-19 vaccines. These changes by CMS are in support of the administration’s efforts to ensure that all Americans can be vaccinated against COVID-19 as soon as possible. The pandemic has certainly resulted in rapid […]
It has taken 30 years, but the AMA and CMS have performed a complete overhaul of the Evaluation and Management (E/M) documentation and coding guidelines and they are set to be implemented January 1, 2021. The hope is that the burden associated with meeting the 1995 or 1997 guidelines will finally be lifted and patient […]
