News & Analysis

July 13, 2020
News & Insights

Q: We're reviewing the focus and structure of our revenue cycle compliance committee. Are there any recommendations for who should be a committee member, meeting cadence, and projects?

July 8, 2020
News & Insights

The American Hospital Association (AHA) is urging CMS to delay the effective date of the Hospital Price Transparency Requirements final rule.

July 8, 2020
Medicare Insider

This week’s Medicare updates include the release of the 2021 ICD-10-CM code set files, a proposed decision memo regarding expanded coverage of a transcatheter mitral valve repair procedure, revisions to the July 2020 OPPS update, and more!

July 6, 2020
News & Insights

Q: Some of our physicians who ordinarily provide services in our provider-based department (PBD) are now providing services to patients in our relocated PBDs, including patients' home. Are we allowed to bill an originating site fee in these circumstances?

July 1, 2020
Briefings on APCs

CMS recently issued a major update to frequently asked questions (FAQ) on COVID-19 fee-for-service billing issues. The bulk of the new FAQs concerns hospitals and the ability to invoke various waivers in order to deliver services to patients in their homes using telecommunications technologies.

July 1, 2020
Briefings on APCs

Physicians and facilities use the same codes to report E/M levels for ED services, but follow different rules. Outpatient coders must be able to assign E/M codes for both physicians’ work and resources utilized by the facility during emergency visits.

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