Coding & Reimbursement
CMS Announces Change in Medicare Telehealth Benefits & HIPAA Policy during COVID-19 Outbreak
Expanded Telehealth Benefits On March 17, the Centers for Medicare and Medicaid Services (CMS) expanded telehealth benefits for Medicare beneficiaries during the COVID-19 outbreak to allow individuals to receive a wider range of healthcare services without having to travel to a healthcare facility. Clinicians can bill immediately for dates [...]
New Long Term EEG/VEEG CPT Codes – 95700-95726
New Long Term EEG/VEEG CPT Codes – 95700-95726 Beginning on January 1, 2020, the CPT coding structure for long-term EEG and EEG with video monitoring (VEEG) changed dramatically. NAEC has been working with AAN, ACNS, and AES to provide summaries of the coding changes, webinars, and an analysis of the [...]
NAEC/AES Session on New Long Term EEG Codes
NAEC/AES Session on New Long Term EEG Codes NAEC and AES Members were eager to learn the details of the new long-term EEG coding structure for 2020 at the Coding Session sponsored by both organizations during the AES Conference in Baltimore, MD. The information presented by Drs. Nathan Fountain, Gregory [...]
NAEC Summaries of Medicare Final Rules for 2020
CMS released its final rules for the 2020 Medicare Physician Fee Schedule (MPFS) and Hospital Outpatient Prospective Payment System (HOPPS) in early November. NAEC has prepared summaries of the provisions of the rules that are of greatest impact to its members with charts showing relative value units and national average [...]
2020 Medicare Physician Fee Schedule Proposed Rule Summary and Charts
NAEC annually provides its members with a detailed summary of the Medicare Physician Fee Schedule (MPFS) Proposed Rule, along with charts showing the relative value units and payment rates. This year we did two summaries to provide additional details on the new EEG codes. MPFS Proposed Rule: Most noteworthy for [...]
Medicare Final Rule on Medicare Advantage and Part D Drug Pricing
Protected Class Policy for AEDs Maintained in Medicare Part D Final Rule On May 16, 2019 the Centers for Medicare and Medicaid Services (CMS) published its final rule on Medicare Advantage and Part D Drug Pricing. The final rule did not move forward on CMS’ proposals made earlier this year [...]
CODING UPDATE
NAEC recently received requests for more information on the new long term EEG codes that will take effect on January 1, 2020. The new codes will not be publicly released until July 2019. NAEC, in collaboration with AAN, AES, and ACNS will distribute more information and hold several webinars later [...]
2019 Medicare Final Rules on Physician Fee Schedule and Hospital Outpatient Payment System Released
In early November, CMS released the final regulations for the CY 2019 Medicare Physician Fee Schedule (MPFS) and Hospital Outpatient Prospective Payment System (HOPPS). NAEC has prepared summaries of the rules and charts showing payment for epilepsy center services, which can be found here: NAEC 2019 Final MPFS Summary [...]
CMS Finalizes 2019 Medicare Rules
Medicare 2019 Final Rules on Physician Fee Schedule and Hospital Outpatient Payment System Released In early November, CMS released the final regulations for the CY 2019 Medicare Physician Fee Schedule (MPFS) and Hospital Outpatient Prospective Payment System (HOPPS). NAEC has prepared summaries of the rules and charts showing payment for [...]
MS Releases Proposed Rule on Hospital Outpatient Prospective Payment System for 2019
NAEC has prepared a brief summary of the Medicare Hospital Outpatient Prospective Payment System (HOPPS) proposed rule for 2019. In general, the rule provides for a 1.25% update in hospital outpatient payment rates in 2019. Hospitals that fail to meet the hospital outpatient quality reporting requirements will receive a 2% reduction [...]
