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你现在可以期待的医疗账单的四个变化

PG电子平台发布于2022年6月12日

If you describe yourself as a lifelong learner 和 love working in a role where there are constant changes, 医疗帐单和编码 也许适合你. 为什么? 因为随着科学和医学的发展, so too do the ways medical personnel organize data 和 bill patients.

Things like the COVID-19 p和emic 和 natural disasters mean those who work in medical billing 和 coding need to stay up-to-date on what’s new in the industry so they can continue to do their jobs well.

对这个领域的最新进展感到好奇? Check out some recent developments in medical billing 和 coding you might want to be aware of.

2021年8月23日, 美国.S. Food 和 Drug Administration (FDA) approved the Pfizer COVID-19 vaccine. This is the first COVID-19 vaccine to receive approval from the administration, 这催生了新的计费准则. The vaccine previously shared emergency use authorization (EUA) with the Moderna 和 Johnson & 约翰逊的疫苗.

现在有了 三个新的HCPCS II级代码 COVID-19治疗性注射. On July 30, the “FDA revised the EUA for casirivimab 和 imdevimab to allow the drug combo to be 暴露后预防(PEP) 在接触过的成人和儿童患者中, 或者是高危人群, 导致COVID-19的SARS病毒.” These are just a few of the most recent updates in the continually changing l和scape of the p和emic. Those in the medical billing 和 coding industries have to stay up-to-date with all the latest information to be effective.  

2021年7月1日,美国将正式启动.S. 由卫生与公众服务部(HHS)发布 关于消费者意外开票的新规定. These new provisions will restrict out-of-pocket costs paid by consumers for health care. Surprise billing happens when consumers unknowingly receive care that is outside of their health insurance’s network.
Some of the new provisions include banning surprise billing for emergency services 和 high out-of-network cost-sharing for emergency 和 non-emergency services. There is also a provision that bans out of network charges without advance notice.

These provisions are meant to protect consumers from financial ruin caused by misinformation on their coverage options.

In response to the public health emergency (PHE) prompted by Hurricane Ida, 医疗保险中心 & 医疗补助服务(CMS)已经发布了一些 计费灵活性 帮助受灾地区的人们. These waivers are in addition to those that are already in effect as a result of the COVID-19 PHE.

One of the major flexibilities that has been issued is in regard to lost or damaged medical equipment. CMS现在是 放弃一些要求 对于通常需要更换的受益人. 除此之外, CMS is ensuring access to care for those enrolled in Medicare Advantage (MA) 和 Part D by allowing benefits to be furnished at non-contracted facilities.

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