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Urgent Care Billing Guide for 2025

Medisys Compliance

This urgent care billing guide provides a comprehensive overview of billing principles, coding updates, and reimbursement strategies tailored specifically for urgent care providers in 2025. Additionally, preventive services such as flu shots (90686) and COVID-19 vaccines (91300 series) remain relevant.

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Weekly HCRE Briefing: Rural Hospitals Improve Margins Through M&A | Concord, MA Seeks to Implement PILOT on Non-Profit Hospitals

Hall Render

CMS released significant revisions to its nursing home surveyor guidance, including requirements for COVID-19 vaccine education, opioid and psychotropic prescribing and medical director responsibilities. The guidance goes into effect February 24, 2025.

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Nursing Home Update: CMS Confirms Acute Respiratory Illness Reporting Requirements

Hall Render

The Final Rule was published on November 7, 2024, with an effective date of January 1, 2025. NHSN Module Is Updated The NHSN Long-Term Care Facility COVID-19 Module is available and has been updated to include the new data elements that LTC Facilities must report.

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Consumers’ Trust In Pharmacists As Providers Grows Along with Omnichannel Health Care

Jane Sarashon

Millions of people received COVID-19 vaccinations from pharmacies in their communities, close to home, experiencing high levels of patient satisfaction. By 2025, some 47% of healthcare workers plan to leave their positions by 2025, asserted in a report from Definitive Healthcare published in October 2022.

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CMS Releases Guidance on Implementation of Rebate Programs for Certain Medicare Part B and Part D Drugs

Healthcare Law Blog

Although the IRA provides for a transition period, which gives CMS until September 20, 2025, to invoice manufacturers for rebates accrued during 2023 and 2024 calendar quarters, after September 20, 2025, CMS must invoice manufacturers within six (6) months of the end of the applicable measuring quarter.

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Reimagining The Future of Pharmacovigilance (PV): Regulations, Tech, Public Perceptions

HIT Consultant

For example, in 2021, in Europe, the number of reports submitted directly by patients and consumers through the NCAs and MAHs (781,632) saw a four-fold increase (+443%) compared to the previous year, largely driven by the reports for COVID-19 vaccines 1.

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IRS Publishes Additional Guidance for HDHPs on COVID-19 Preventive Care

Compliance Now

This means that groups with calendar year plans will need to begin subjecting such services to their HDHP’s deductible once their plan renews in 2025. In contrast, groups with non-calendar year HDHPs must begin applying the plan’s deductible to COVID-19 testing and treatment services once their plan renews in 2024.

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