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Correcting Medicare telehealth billed with POS 02

Jul 23, 2020 | Services

First Coast Service Options has instructed providers to bill professional claims for all telehealth services with POS on and after March 1, 2020, and for the duration of the PHE to Medicare with: Place of service (POS) equal to what it would have been had the service...

Medicare – Allowing claims with ‘Z’ diagnosis codes

Jul 14, 2020 | Services

The Centers for Medicare & Medicaid Services (CMS) provided guidance in the April 7, 2020, Dear Clinician letter for using diagnosis codes Z03.818, Z20.828, and Z11.59 when reporting encounters related to possible COVID-19 exposure. First Coast Service Options,...

Medicare 2% Sequestration Suspended

Jul 7, 2020 | COVID- 19

Good news for providers from Medicare. The Medicare 2% Sequestration has been suspended through December 31, 2020. According to section 3709 of the Coronavirus Aid, Relief, and Economic Security (CARES) Act temporarily suspends the 2% payment adjustment currently...

In-Person Healthcare Visits

Jun 26, 2020 | Medicare

As communities around the country continue to re-open, you may have questions about when to resume in-person visits with your healthcare providers, and what to expect during a visit. Always check with your doctor to see what's best for your healthcare needs. Here are...

CMS Recommendations Re-opening Facilities

Jun 19, 2020 | Medicare

Centers for Medicare & Medicaid Services (CMS) Recommendations Re-opening Facilities to Provide Non-emergent Non-COVID-19 Healthcare Non-emergent, Non-COVID care (NCC) should be offered to patients, as clinically appropriate, in localities or facilities that have...

Vuln!! Path it now!!

May 19, 2020 | Medicare

This article from CMS informs you about the addition of the QW modifier to HCPCS code U0002 and 87635. Medicare will permit the use of codes U0002-QW and 87635-QW for claims submitted by facilities with a valid, current CLIA certificate of waiver with dates of...