In August 2021 I reviewed Madison hospitals’ compliance with the Federal “Hospital Price Transparency Final Rule,” which requires hospitals to make their standard charges readily available to the public, in both “consumer-friendly” and “machine-readable” formats. Hospitals have now had an additional five months to come into compliance, and it’s time for an update to see …
NOTICE “No Surprises Act” Dear Current And Potential Future Clients, Congress enacted a “No Surprises Act” that went into effect 1/1/2022. The act is described as “new federal protections against surprise medical bills that take effect in 2022. Surprise medical bills arise when insured consumers inadvertently receive care from out-of-network hospitals, doctors, or other providers …
UPDATE 1/1/2022: The American Academy of Sleep Medicine (AAPM) is reporting the same $34.6062 CF I previously reported 12/27/2021. This is now confirmed via the complete PFS (Physician Fee Schedule) at https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeeSched/PFS-Carrier-Specific-Files. So, the National Payment Amount (NPA) for the top ten services most frequently provided by psychologists in Medicare will be as follows this …
Continue reading ‘2022 Medicare Conversion Factor “Final” – Quick Update’ »
November 26, 2021 Update: Clinical Psychologist (and Physician) and Social Worker Fee schedule, Medicare in Wisconsin, 2022. Source: https://www.ngsmedicare.com/web/ngs/fee-schedule-lookup?lob=96664&state=97006®ion=93624 National Government Services, Inc. – Wisconsin (00) 2022 Clinical Psych & Social Worker Fee Schedule CODE CP FEE CP FAC FEE (#) CSW 75% FEE CSW 75% FAC FEE (#) EFFECTIVE DATE 90785 $14.04 $12.45 $10.53 …
Continue reading ‘Reimbursement Estimates For Psychological Services In Medicare 2022’ »
As with prior updates (e.g., 2019 and 2018, CMS data releases related to utilization tend to be 2 years behind the year of service provision. Data for services in 2019 became available at the end of August 2021, at Data.CMS.gov. The following analyses are for individual therapy sessions only (HCPCS 90832, 90834, and 90837). Psychotherapy plus medication, …
Continue reading ‘2021 Update – Psychotherapy In Medicare’ »
2 June 2022 Public Health Will Lift All Dane County Orders June 2. 26 January 2022: Face Covering Emergency Order #7 in effect until 3/1/2022 20 December 2021: FACE COVERING EMERGENCY ORDER #6 in effect until 2/1/2022 27 November 2021: FACE COVERING EMERGENCY ORDER #5 is in effect until 1/3/2022. 5 November 2021: Face Covering Emergency …
Continue reading ‘Prior Local Public Health Orders Followed By Forward Psychology’ »
Background As of January 1, 2021, hospitals must comply with the “Hospital Price Transparency Final Rule,” requiring them to make their standard charges available to the public. Charges must be provided in two formats: “1. A comprehensive machine-readable file that includes all standard charges for all hospital items and services; and 2. A consumer-friendly display …
Recently I’d tweeted this data-supported proposition and asked to be proven wrong. So far, no one’s done so. There is no American insurance company that has kept up with or exceeded the rate of inflation for reimbursement of any health care service. Especially mental health care. Prove me wrong. pic.twitter.com/c8j5iRsCXO — Gordon I. Herz PhD …
Continue reading ‘No American Insurance Company Reimbursement Keeps Up With Inflation’ »
I have previously reported about provision of psychotherapy in Medicare, most recently in 2019 and 2018. CMS data releases related to utilization are always at least 2 years behind the year of service provision. Data for services in 2018 became available early in February 2021, and the following analyses are based on those data, available …
