COVID-19 Updates

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

The COVID-19 Vaccine is here and is ready to be administered. As providers the next big step is to procure the vaccine and administer it. Likewise, it is important to know that Medicare will cover and pay for the administration of the vaccine, when furnished consistent with the Emergency Use Authorization (EUA). The payment and…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

CMS has announced amended terms for payments issued under the Accelerated and Advance Payment (AAP) Program. The new recoupment terms allow providers and suppliers one additional year to start loan payments. From the CMS press release: Providers were required to make payments starting in August of this year, but with this action, repayment will be…Read More

We have created two new COVID-19 templates for ChartMaker® Clinical that allows you to easily document COVID-19 assessment and counselling in your patient charts. These templates are available to our ChartMaker® Clinical clients free of charge as a gesture of support to our providers as you strive to take care of your patients during this unprecedented…Read More