News & Analysis

June 28, 2023
Medicare Insider

This week’s Medicare updates include guidance on the Transitional Coverage for Emerging Technologies pathway, the July 2023 versions of the OPPS Addendum A and B files, and more!

June 28, 2023
Case Management Monthly

CMS introduced the inpatient-only list in 2001 to ensure patients who undergo complex, high-risk surgical procedures receive postoperative monitoring services in an inpatient setting.

June 21, 2023
Medicare Insider

This week’s Medicare updates include a report on national health expenditure projections, additions to the OIG’s Work Plan, tools for lowering prescription drug costs for low-income seniors and people with disabilities, and more!

June 21, 2023
Briefings on APCs

Encephalopathy refers to any disease of the brain that alters its function or structure. Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBG, breaks down documentation requirements and ICD-10-CM coding for toxic, acute, and chronic encephalopathy.

June 14, 2023
Medicare Insider

This week’s Medicare updates include a revised fact sheet on Part D vaccines, billing guidelines for gender-specific services, a one-time change to the annual average 96-hour patient length of stay calculation for CAHs, and more!

June 7, 2023
Briefings on APCs

This article reviews the most common types of external diagnostic cardiology tests, examines relevant CPT coding guidelines, and offers reporting advice from an expert.

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