This is an update to the blog post “The Different Parts of Medicare Health Insurance“ Medicare, first signed into law in 1965, was created to provide health coverage to America… Read More

Introduction  The healthcare sector is continually changing because of advances in science, patient privacy, and insurance provider rules. However, some recent events have influenced… Read More

Medicare Part A covers skilled nursing and rehabilitation care in a Skilled Nursing Facility (SNF) under certain conditions for a limited time. Coverage for care in SNFs is measured in &lsqu… Read More

Radiologists execute both interventional and non-interventional/non-invasive procedures. Interventional radiology techniques include diagnostic radiology visualization and ultrasound, while… Read More

The end is near! The COVID-19 Public Health Emergency (PHE) will officially end on May 11, 2023. When the PHE was declared on January 31, 2020, emergency declarations and waivers (some 1,135… Read More

Medicare Coverage for Ambulance Transportation  Medicare Part B covers emergency ambulance services and, in limited cases, non-emergency ambulance services. Part B covers medically nece… Read More

Basics of Destinations for Ambulance Transportation Ambulance transport is covered to the nearest appropriate facility to obtain necessary diagnostic and/or therapeutic services such as a CT… Read More

Determining Medicare Drug Coverage While billing for Skilled Nursing Facility (SNF) or for hospital billing, billers always make the mistake of considering the wrong Medicare drug coverage… Read More

Skilled nursing billing service assists health care providers in managing their capable nursing business. Professio… Read More

As home health and home care operators move toward the ninth month of the COVID-19 pandemic, it’s important to take stock of what has been accomplished from a policy perspective. Many… Read More

While Addus HomeCare Corporation (Nasdaq: ADUS) has long been known as a personal care giant, it’s increasingly expanding in the more clinical home-based care arenas. It’s doing… Read More

The SNFABN provides information to the beneficiary so that he can decide whether or not to get the care that may not be paid for by Medicare and assume financial responsibility. SNFs must us… Read More

CMS is waiving the requirement at Section 1812(f) of the Social Security Act for a 3-day prior hospitalization for coverage of a skilled nursing facility (SNF) stay provides temporary emerge… Read More

NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULESFor any item to be covered by Medicare, it must 1) be eligible for a defined Medicare benefit category, 2) be reasonable and necessary for the… Read More

Healthcare providers, if you serve Medicare, Medicaid and Children’s Health Insurance Program (CHIP) patients in the counties and geographical areas impacted by Hurricane Irma and… Read More

The Medicare Payment Advisory Commission’s (MedPAC) recently released its annual recommendations on Medicare policy. In addition to changes to Medicare Advantage (MA) diagnosis coding… Read More