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11/01/22

CMS Releases CY 2023 Home Health Final Rule

On October 31, 2022, the Centers for Medicare and Medicaid Services released the calendar year (CY) 2023 Home Health final rule. To access the final rule, click HERE. To access the CMS Fact Sheet on the final rule, click HERE.

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10/31/22

Novitas Updates SLP Billing and Coding Article

Novitas Solutions, Medicare Administrative Contractor (MAC) for the states of Arkansas, Colorado, Delaware, District of Columbia, Louisiana, Maryland, Mississippi, New Jersey, New Mexico, Oklahoma, Pennsylvania, and Texas, have updated their article on Billing and Coding for Speech-Language Pathology Services. In this article, Novitas Solutions has published an extensive list of ICD-10 diagnosis codes, one of which must be on the claim form to support the billing of the following CPT codes: 92507, 92508, 92521, 92522, 92523, 92524, 92597, 92607, 92608, 92609, 96105, 96112, and 96113. The revised effective date of this article is October 1, 2022. To access the revised

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10/24/22

Do MIPS Payment Adjustments Apply to Medicare Advantage Plans

In this article, I will answer the following questions regarding the Merit-Based Incentive Payment System (MIPS) and the applicable payment adjustments and how they apply to Medicare Advantage plans:

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10/24/22

Changes to Amount in Controversy for 2023

The amount that must remain in controversy for reviews in Federal District Court (fifth-level appeal) beginning with filings on and after January 1, 2023 is $1850. This is an increase of $90 for appeals filed between January 1 – December 31, 2022.

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10/17/22

Update: PHE, Telehealth and Supervision Requirements

In this article, I will answer the following questions:

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10/13/22

HHS Renews Public Health Emergency

On October 13, 2022, Secretary of Health and Human Services, Xavier Becerra, renewed the public health emergency (PHE) due to COVID-19. This means that the PHE will end at the end of the day on January 11, 2023 unless extended further or ended sooner. Click HERE to read the PHE extension notice.

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10/10/22

Medicare 2023 Deductibles and Premiums Announced

The Centers for Medicare and Medicaid Services (CMS) has announced the 2023 Medicare Part A and Part B premiums and deductibles. In this article, I will provide you with what the premiums and deductibles are for 2023 and how the Medicare beneficiaries Part B deductible can impact the annual therapy threshold dollar amount dependent upon was the deductible met before or after they received outpatient physical, occupational and/or speech therapy services. In this article, I will answer the following questions:

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10/03/22

Are CHAMPVA and TRICARE the Same?

I am often asked if TRICARE and CHAMPVA are the same. In this article, I will answer the following questions concerning these 2 programs:

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