Month: December 2020

Ensemble Health Partners CDM Team provides you the latest 2021 Industry and Code updates for CPT, CMS, 40B Programs, Price Transparency and more.

Before COVID-19 took the healthcare spotlight, you may have heard about a Centers for Medicare and Medicaid Services (CMS) initiative referred to as Price Transparency. Set to take effect on January 1, 2021, this rule requires hospitals to publish costs for items and services.

Hierarchical Condition Category (HCC) coding is the risk adjustment (RA) model that is used by the Centers for Medicare and Medicaid (CMS) for determining future healthcare costs associated to a specific patient.

Over the last several weeks, the Federal Drug Administration (FDA) has approved, or is in the process of approving, Emergency Use Authorization (EUA) to Pfizer, Moderna, Eli Lilly and Regeneron Pharmaceuticals for their COVID-19 Vaccines or Infusion Treatments.