News & Analysis

October 1, 2016
Briefings on APCs

Billing correctly for observation hours is a challenge for many organizations. Getting it right requires knowing how to calculate observation hours for each patient, which is far from straightforward.

October 1, 2016
Briefings on APCs

The Medicare Reporting and Returning of Self-Identified Overpayments final rule (81 Fed. Reg. 7654‑7684), which became effective March 14, is designed to implement Section 1128J(d) of the Social Security Act, which was established under Section 6402(a) of the Affordable Care Act, effective March 23, 2010.

September 28, 2016
Medicare Insider

This week’s Medicare updates include a story about the OIG levying its largest penalty under a corporate integrity agreement against nation's biggest provider of post-acute care; a fact sheet and press release about moving Medicare Advantage and Part D forward; and more!

September 21, 2016
Medicare Insider

This week’s Medicare updates include a notice of interim final rule adjusting Civil Monetary Penalties; an article on the 2016-2017 influenza resources for healthcare professionals; and more!

September 7, 2016
Medicare Insider

This week’s Medicare updates include the 2017annual Clotting Factor Furnishing Fee update; the 2017 HCPCS annual update reminder and more!

September 6, 2016
News & Insights

Is there any reason why an inpatient-only procedure would be performed on an outpatient?

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