News & Analysis

May 1, 2015
Briefings on APCs

CMS released updated I/OCE specifications in January with several changes that could require providers to examine claims submitted early in 2015 that include comprehensive APCs (C-APC) to ensure proper payment.

May 1, 2015
Briefings on APCs

When CMS introduced the -X{EPSU} modifiers in August 2014 to be used in specific instances to replace modifier -59 (distinct procedural service), the agency encouraged "rapid migration" to the new modifiers.

April 14, 2015
Medicare Insider

This week’s note is about new rules regarding contractors up coding or down coding. Click the link above for more information and an in-depth analysis.

April 7, 2015
Medicare Insider

This week’s note is about MLN Matters’ recent “Preventative Services” Educational Tool. Click the link above for more information and an in-depth analysis. 

April 1, 2015
Briefings on APCs

Our experts answer questions about modifier -52 application, infusion coding, and more.

April 1, 2015
Briefings on APCs

Each year, the AMA updates the Vaccines, Toxoids section of the Medicine chapter in the CPT® Manual to add or revise descriptions of newly available products. In 2015, the AMA added two new product codes (90651, 90630) and revised four (90654, 90721, 90723, and 90734).

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