decisionhealth Newsletters, Part B News - 2018 Issue 1 (January)
CMS will hold claims over therapy cap exception; CHIP, Azar approved
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Article Overview
This article explains how recent congressional inaction affected Medicare payment policy and how CMS responded for therapy-related claims during a temporary lapse in the law. It also reviews related federal legislation and confirmations that influenced CHIP, ACA-related deadlines, and HHS leadership. The piece is aimed at Medicare billers, therapy providers, revenue cycle staff, and health policy readers who track short-term legislative fixes and claims processing changes.
Why This Topic Matters
The article is relevant because temporary expirations in federal health legislation can affect claim submission, payment timing, and reimbursement continuity for providers. It also tracks broader policy developments that may impact Medicare, CHIP, and other health program funding and tax provisions.
Article Sections
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Medicare therapy cap exception and claim handling
Discusses the temporary lapse of a Medicare therapy-related exception and CMS handling of affected Part B claims during the short-term period. It also places the issue in the context of related expired Medicare payment provisions.
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Other Medicare extenders and legislative outlook
Summarizes additional Medicare policy items awaiting congressional action and comments on the broader likelihood of a legislative fix. The section focuses on the policy environment rather than specific coding outcomes.
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Government funding bill, CHIP, and related health policy provisions
Covers the short-term spending legislation that ended the shutdown, the CHIP reauthorization, and extensions affecting selected ACA-related deadlines. It also notes the timing of federal budget negotiations and related policy debates.
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Azar confirmed as HHS Secretary
Reports on Senate confirmation of the new HHS Secretary and the political context surrounding the nomination. The section includes reactions from lawmakers and the White House.
What You Will Learn
- How a temporary lapse in Medicare policy affected claim processing
- What broader federal health policy items were included in the same legislative cycle
- Which government programs and deadlines were addressed in the funding bill
- Why the HHS Secretary confirmation was part of the broader policy news coverage
Who Should Read This
- Medicare billing professionals
- Therapy providers
- Revenue cycle and claims staff
- Health policy analysts
- Practice administrators
Codes Discussed
Modifiers Discussed
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