News & Analysis

May 13, 2014
Medicare Insider

In the Medicare Claims Processing Transmittal 2903, April 2014 Update of the Hospital Outpatient Prospective Payment System (OPPS), CMS discusses the current policy regarding billing for certain devices that are received by facilities at no cost, full credit, or partial credit.

May 1, 2014
Briefings on APCs

Our experts answer questions on ED reimbursement, charging for self-administered drugs, critical access hospital charges, and more.

 

May 1, 2014
Briefings on APCs

In January, I wrote about the perfect storm that led to the release of the 2014 OPPS final rule.

We endured a later-than-usual release, errors in the data files and a release of updated files, a government shutdown, and a vastly shortened window between the release of the final rule and implementation on January 1. Judging by the confusion among providers?and corrections and clarifications coming from CMS on what seems like a weekly basis on a wide range of issues?we're still not in the clear.

May 1, 2014
Briefings on APCs

Since January, providers have been struggling to reconcile conflicts between CMS' rules and regulations and those published by the CPT® Manual and other AMA publications.

April 29, 2014
Medicare Insider

This week’s note is about coding, billing, and payment for skin substitute products. Click the link above for more information and an in-depth analysis.

April 15, 2014
Medicare Insider

This week’s note is about updated CMS guidelines for proper billing of discarded outpatient drugs. Click the link above for more information and an in-depth analysis.  

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