CMS put hospitals on track to face expanded price transparency requirements with a final rule released in November 2019. Take a closer look at how price transparency is set to change and what hospitals need to do.
The Medicine section of the CPT Manual includes codes for a variety of services including acupuncture, vaccinations, and behavioral health assessments and is divided into 33 subsections that can make it challenging to navigate.
CMS is expanding Medicare coverage of next-generation sequencing (NGS) to diagnose certain types of ovarian and breast cancer, according to a January 27 decision memo.
This week’s Medicare updates include a Q&A on changes to new technology add-on payments pertaining to antibiotics, a decision memo on coverage for acupuncture as a treatment for chronic low back pain, implementation details for a new ICD-10-CM code for vaping-related disorder, and more!
Q: How do we bill for services when our utilization review (UR) team determines postdischarge that an inpatient admission was not medically necessary? Are these services billed as outpatient or inpatient?
