Billing & Collection

Updates on the No Surprises Act Implementation Webinar 

To assist members with a variety of Department of Health and Human Services’ (HHS) No Surprises Act resources that have recently been updated, CHA will host a webinar on Feb. 9.      During the webinar, Amanda Hayes-Kibreab, partner at Kings-Spalding, will share insights, and:  

Hospital Claims Review Resource Available

Livanta, Medicare’s national claims review contractor, has launched the Livanta Claims Review Advisor — a monthly online educational resource for medical coders, billing, financial and revenue cycle personnel, clinical documentation improvement specialists, utilization review coordinators, case managers, compliance officers, physicians, and other practitioners. 

CMS Releases Billing Codes for Johnson & Johnson, Moderna Booster Shots 

On Oct. 20, the Food and Drug Administration amended the emergency use authorization for COVID-19 vaccines to allow booster doses for the Moderna and Johnson & Johnson vaccines.   The Centers for Medicare & Medicaid Services has released new billing coding for the Johnson & Johnson and Moderna COVID-19 vaccine booster shots. Current billing codes, payment allowances, and effective dates are available online.  

CMS to Pay for COVID-19 Booster Shots

The Centers for Medicare & Medicaid Services has announced will pay the full cost of the Pfizer-BioNTech COVID-19 booster shots to providers without cost-sharing for Medicare, Medicaid, and the Children’s Health Insurance Program beneficiaries.