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Billing & Coding

One of the biggest challenges for PALTC clinicians is coding for services in varied long-term care settings such as nursing homes, assisted living facilities, subacute facilities, and home care settings.
Policy Snapshot

December 15, 2023

Billing for Flu, Pneumococcal, and COVID-19 Vaccines

For flu, pneumococcal, and COVID-19 vaccines furnished on or after July 1, 2023, to patients staying in a Medicare Part A-covered skilled nursing facility (SNF), immunizers can no longer bill Medicare directly.
Policy Snapshot

May 30, 2025

Bipartisan Bill Reintroduced to Streamline Medicare Advantage Prior Authorization

Sens. Mark Warner (D-VA) and Roger Marshall, MD (R-KS), have reintroduced the Improving Seniors’ Timely Access to Care Act (S. 1816), a bipartisan, zero-cost bill designed to improve access to care for the 32.8 million Americans enrolled in Medicare Advantage (MA) plans. The legislation aims to simplify th...