New codes and payment models require additional focus on guidelines and guidance

January 1, 2018
Briefings on APCs

If ICD-10-CM/PCS is used to its full potential, it will provide greater detail and a more accurate depiction of patient severity. This level of detail is expected to provide more information about the relationship between a provider’s performance and the patient’s condition. 

Interpreting guidance from CMS' 340B FAQs

January 1, 2018
Briefings on APCs

CMS' 340B FAQ reviews modifiers -JG (drug or biological acquired with 340B drug pricing program discount) and -TB (drug or biological acquired with 340B drug pricing program discount, reported for informational purposes) and requires 340B hospitals to report modifiers even on drugs that are not subject to the discount policy.

This month's coding Q&A

January 1, 2018
Briefings on APCs

Our experts answer questions about open-ended queries, how many claims should result in queries, and more. 

2017 Briefings on APCs index

January 1, 2018
Briefings on APCs

Review the stories and topics Briefings on APCs covered in 2017, including Q&As and OPPS Advisor columns.