News & Analysis

October 12, 2022
Briefings on APCs

The Office of Inspector General (OIG) recently released a data brief on billing risks associated with Medicare telehealth services during first year of the COVID-19 pandemic.

October 5, 2022
Briefings on APCs

Shelley Safian, PhD, RHIA, HCISPP, CCS-P, COC, CPC-I, describes how, beginning in 2023, medical decision-making (MDM) will be used to determine E/M leveling for additional visit services, following similar changes for outpatient visits implemented in 2022.

October 5, 2022
Medicare Insider

This week’s Medicare updates include the October 2022 update to the Outpatient Prospective Payment System, updates to the OIG Work Plan, an analysis of telehealth service compliance risks, and more!

September 28, 2022
Medicare Insider

This week’s Medicare updates include a revised MLN booklet on chronic care management services, the October 2022 update of the Ambulatory Surgical Center Prospective Payment System, an OIG review of Part B overpayments, and more!

September 21, 2022
Briefings on APCs

Effective October 1, the ICD-10-CM code set will be updated to include over 1,100 new codes before counting code revisions and deletions. This article covers new codes for musculoskeletal and genitourinary conditions including muscle wasting, rib and sternal fractures, drug-induced neuropathy, and endometriosis.

September 20, 2022
Medicare Insider

This week’s Medicare updates include two updates to the OIG work plan, an updated emergency use authorization for the Pfizer and Moderna vaccines, details about a MEDCAC meeting to examine the requirements for clinical studies submitted for CMS coverage under Coverage with Evidence Development, and more! 

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