CMS transmittals clarify removal of total knee arthroplasty from the inpatient-only list and the 2-midnight rule

March 1, 2019
Briefings on APCs

In the 2018 OPPS final rule, CMS removed total knee arthroplasty (TKA) from the inpatient-only (IPO) list effective January 1, 2018. Although some guidance was provided at the time, providers and physicians alike were left confused with a significant number of questions regarding documentation and inpatient status

Measuring success: Creating outpatient CDI tracking tools

March 1, 2019
Briefings on APCs

Many outpatient CDI professionals stepped into their roles blind—not knowing where to begin or how to tell if they were successful. However, as programs mature, they need to be able to track their progress for a number of reasons, including focusing physician education and justifying continued funding from organizational leadership.

Reinforce CPT coding for arthroscopic hip and knee procedures

March 1, 2019
Briefings on APCs

Coding for knee arthroscopies can be challenging, especially when procedures are performed in multiple compartments of the same knee. Read about anatomy and coding details required to accurately report these procedures.

This month's coding Q&A

March 1, 2019
Briefings on APCs

Our experts answer questions about reporting E/M services along with drug administration, dealing with pre-payment denials, and more.