2019 OPPS final rule: CMS focuses on site-neutral payment policies and reducing outpatient volume

December 1, 2018
Briefings on APCs

Despite facing potential lawsuits and political opposition, CMS finalized some of its most controversial proposals in the 2019 OPPS final rule by implementing several site-neutral payment policies and 340B drug payment reductions.

2019 MPFS: CMS adds new modifiers, telehealth policies in physician rule

December 1, 2018
Briefings on APCs

Along with E/M changes for 2019 and beyond, the 2019 Medicare Physician Fee Schedule final rule contains a plethora of regulations impacting reimbursement, including new modifiers for therapists.

CMS engages Recovery Auditor to perform automated reviews

December 1, 2018
Briefings on APCs

Follow the steps a hospital should consider when submitting a redetermination request to a Recovery Auditor.

This month's coding Q&A

December 1, 2018
Briefings on APCs

Our experts answer questions about coding infusions for chemotherapy and documentation requirements for reporting BMI in ICD-10-CM.