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Our experts answer questions about MUEs on HCPCS codes, appealing claims for noncovered procedures, and more. 

The Briefings on APCs experts answer questions about documentation for excisions, changes to recurring payments, and more.  

Our experts answer questions about reporting modifier -59 with knee arthroscopies, updates on skin substitute codes, and more. 

Should a discharge planner know the average length of stay (ALOS) for specific Medicare severity diagnosis-related groups (MS-DRG)?

How can hospitals determine if a separate procedure exception applies for inpatient-only procedures?

What resources should case managers be familiar with when creating a discharge plan for postacute care following a surgical procedure?

Our experts answer questions about hitting MUEs on injections and infusions, setting multiple prices for the same CPT codes, payment rates for cancer centers, and more. 

Q: Our laboratory has been running some testing for “proprietary laboratory analyses” for colorectal and ovarian cancer. The codes they gave me are not active, but they said they are the testing codes provided by the manufacturer. The codes are 0002U and 0003U. Are these valid codes to report on a claim?

Our experts answer questions about CT scan payments, physician payments in provider-based departments, and more. 

Our experts answer questions about reporting and payment for new moderate sedation codes, billing for unlisted drugs and biologicals, and more.