Medicare (CMS)

Diabetic Patient Management Are you aware of the changes coming to the management of your diabetic patients? Medicare has implemented changes effective October 7, 2024. The final rule is linked below. ht...

Physician Fee Schedule Look-Up Tool The Centers for Medicare and Medicaid Services (CMS) has updated the online look-up tool to include physician updates for multiple years. https://www.cms.gov/medicare/physician-fee-schedule/search ...

Modifier TB As of 1/01/2025, modifier TB will be required by Medicare for providers who bill separately Part B drugs and participate in the 340B Drug Pricing Program. Additional information can be found in the MLN Fact Sheet MLN48008...

Mental Health Coverage for Medicare Patients Have questions on what your patient's mental health benefits through Medicare are? Check out this MLN titled Medicare and Mental Health Coverage.   MLN 1986542 ...

New Provider Types and Taxonomy Codes The Centers for Medicare and Medicaid Services (CMS) has created 2 new provider types and associated taxonomy codes as of January 1, 2024. They include: Marriage & Family Therapist Taxo...

New providers eligible to bill Medicare As of January 1, 2024 Marriage and Family Therapists and Mental Health Counselors are eligible to bill Medicare for services rendered. CMS has published an article answering some frequently asked questi...

Medicare Fee Schedule Final Rule CY2024 Medicare has published a summary of the changes forthcoming for CY2024. They have made changes to: Telehealth services E/M visits Behavioral health services Dental and oral health ser...

Medicare Overpayments The attached article from CMS explains the changes coming July 1, 2024, regarding Medicare Overpayments. https://www.cms.gov/files/document/mm11808-limitation-recoupment-medicare-overpayments.pdf ...

Does your office provide home health services to Medicare patients? Medicare has recently released its MLN Matters newsletter highlighting changes coming January 1, 2024. A link to the newsletter is below. Medicare Home Healt...

Did you know that the amount in controversy to obtain an administrative law judge (ALJ) hearing and/or a judicial review in federal district court is changing effective January 1, 2024? Beginning January 1, 2024, the thresholds will b...