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November 16, 2017
Medicare Insider

This week’s note is the third in a series of articles examining coding, billing, and payment rules for rural health clinics.

November 17, 2017
Medicare Web

A CMS representative solicited input from audience members on potential revisions to E/M documentation guidelines at the AMA’s 2018 CPT Symposium in Chicago this week, continuing the agency’s outreach on E/M reform that began with this year’s Medicare Physician Fee Schedule proposed rule. 

November 17, 2017
Case Management Monthly

Catastrophic hurricanes, mass shootings, and devastating wildfires—this autumn brought disasters that affected many regions of the country, which should have prompted organizations to consider how well equipped they are to handle such events.

November 17, 2017
Medicare Web

Q: Does a physician physically need to inject a sedating agent to justify the use of a moderate sedation code?

November 16, 2017
Medicare Web

Q: It is my understanding that we can make PHI disclosures using our EHR for payment/treatment/healthcare operations without a consent and that we do not need to track these requests for an accounting of disclosures. Has this changed?

November 16, 2017
Medicare Insider

This week’s note is the third in a series of articles examining coding, billing, and payment rules for rural health clinics.

November 15, 2017
HIM Briefings

Currently, there are no national guidelines for how facilities should assign evaluation and management (E/M) levels in the emergency department (ED). Under Medicare’s ambulatory payment classification (APC) system, facilities create their own internal guidelines for determining the ED visit level, and each facility must follow its own system to demonstrate compliance.

November 15, 2017
Medicare Web

Q: What should my staff focus on when conducting case management patient assessments?

November 15, 2017
Medicare Insider

This week’s Medicare updates include new hospital appeals settlement options, revisions involving the addition and deletion of ICD-10-CM codes from certain NCDs, details on the partial settlement of a 2-Midnight policy court case, and more! 

November 15, 2017
Medicare Web

The acute kidney injury (AKI) dialysis payment rate is $232.37 for CY 2018, as updated by CMS in the 2018 End-Stage Renal Disease Prospective Payment System (ESRD PPS)

November 14, 2017
Medicare Web

CMS announced partial settlement agreements and instructions for Medicare Administrative Contractors in relation to several 2-midnight rule cases.

November 13, 2017
Medicare Web

A Comprehensive Error Rate Testing (CERT) study showed insufficient documentation causes most improper payments for arthroscopic rotator cuff repairs, according to the October 2017 Medicare Quarterly Compliance Newsletter.

November 13, 2017
Medicare Web

How should facilities approach claim edits that must be made across departments, such as imaging and surgery?