The American Medical Association (AMA) announced on September 3, 2021 that the CPT code set has been updated by the CPT Editorial Panel to include vaccine and administration codes that are unique to a new formulation of the COVID-19 vaccine developed by Pfizer. The new formulation is based on a tris-sucrose buffer rather than the…Read More
The American Medical Association (AMA) announced on August 16, 2021, that the Current Procedural Terminology (CPT®) code set is ready for the rollout of third doses of the Pfizer and Moderna COVID-19 vaccines. The CPT Editorial Panel has expedited approval of a new administration code that is unique to a third dose of the current…Read More
If you received an accelerated or advance payment, the Centers for Medicare & Medicaid Services (CMS) will begin to recoup any outstanding balance from any payments due to you from your Medicare claims. This process began as soon as 3/30/2021, depending upon the one-year anniversary of when you received your first advance payment. CMS will…Read More
The ChartMaker® Medical Suite has been updated to allow users to attach the Priority Group to their Covid-19 immunization submissions. NYSIIS is currently accepting information for the following vaccines: Vaccine (ID) Name CVX Code Trade Name Manufacturer Code COVID-19, mRNA, LNP-S, PF, 100 mcg/0.5 mL dose 207 Moderna COVID-19 Vaccine MOD COVID-19, mRNA, LNP-S, PF,…Read More
On April 16, 2021, CMS announced that the 2% Payment Adjustment (Sequestration) for Medicare FFS Claims have been suspended through December: The Coronavirus Aid, Relief, and Economic Security (CARES) Act suspended the sequestration payment adjustment percentage of 2% applied to all Medicare Fee-for-Service (FFS) claims from May 1 through December 31, 2020. The Consolidated Appropriations…Read More
On December 3, 2020, the CDC announced six (6) new ICD10 diagnosis codes to identify conditions resulting from COVID-19. These ICD10 Codes will become effective on January 1, 2021. The new codes are: Z11.52 – Encounter for screening for COVID-19 Z20.822 – Contact with and (suspected) exposure to COVID-19 Z86.16 – Personal history of COVID-19…Read More
CMS released a set of toolkits for providers, states and insurers to help the health care system prepare to swiftly administer the vaccine once it is available. These resources are designed to increase the number of providers that can administer the vaccine and ensure adequate reimbursement for administering the vaccine in Medicare, while making it clear…Read More
The AMA has announced new CPT codes have been created that streamline the novel coronavirus testing currently available in the United States market. Among these is a new code to describe the additional supplies and clinical staff time required to mitigate transmission of respiratory infectious disease while providing evaluation, treatment, or procedural services during a…Read More