CMS recently released several updates that may affect provider billing, compliance, and patient care. Highlights include:
- Optometry Services at Nursing Facilities: CMS reminds providers to follow the correct billing requirements when furnishing optometry services to patients in nursing facilities to help avoid claim denials.
- Hepatitis C Screening: Providers should use HCPCS code G0567 when billing for covered Hepatitis C virus screening services under the applicable National Coverage Determination.
- Home Health Consolidated Billing: CMS has issued the October 2026 quarterly update to the list of HCPCS codes subject to Home Health Consolidated Billing enforcement. Home health agencies and referring providers should review the updated code list.
- Hospice Face-to-Face Encounters: CMS has clarified billing guidance for reporting hospice recertification face-to-face encounters completed using telecommunications technology, helping ensure claims are submitted correctly.
- Cyclosporiasis Health Alert: The CDC is investigating domestically acquired cyclosporiasis cases reported across multiple states. Healthcare providers should remain alert for patients presenting with symptoms and follow current public health guidance for diagnosis and reporting.
- VA Direct Deposit Reminder: The Department of Veterans Affairs encourages providers receiving VA payments to enroll in direct deposit for faster, more secure reimbursement.
Resources: Optometry Services at Nursing Facilities: Bill Correctly
Screening for Hepatitis C Virus in Adults National Coverage Determination: Using HCPCS Code G0567
HCPCS Codes Used for Home Health Consolidated Billing Enforcement: October 2026 Quarterly Update
Domestically Acquired Cyclosporiasis Cases in Multiple U.S. States