News & Analysis

April 7, 2021
Medicare Insider

This week’s Medicare updates include the April update to the ambulatory surgical center payment system, information on COVID-19 Advanced and Accelerated Payment recoupment, an update on an issue with therapy claims, and more! 

April 7, 2021
News & Insights

CMS has begun recovering COVID-19 Accelerated and Advance Payments (CAAP), according to MLN Matters SE21004.

April 5, 2021
News & Insights

Q: What revenue codes are used to prevent triggering a copay or deductible when billing Medicare for COVID-19 monoclonal antibodies?

April 1, 2021
Briefings on APCs

Regular monitoring and internal auditing are critical to ensure compliance throughout the revenue cycle and protect revenue integrity. Consider the different strategies that can be applied to documentation and chart audits, coding audits, and more.

April 1, 2021
Briefings on APCs

The most impactful overhaul to the E/M coding and documentation guidelines in 25 years went live January 1. The updated guidelines eliminate medical history and physical examination as required elements for reporting E/M codes 99202-99215. E/M coding for outpatient visits is now based on documentation of medical decision-making (MDM) or time spent on the encounter.

March 31, 2021
Medicare Insider

This week’s Medicare updates include claims processing instructions for a revised NCD, an update to the manual pertaining to cardiac/pulmonary rehab, updated information on hospital surveys during the COVID-19 PHE, and more!

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