News & Analysis

This week in Medicare updates–03/16/2016

March 15, 2016
Medicare Insider

This week’s updates include July quarterly update to 2016 annual update of HCPCS codes used for SNF Consolidated Billing (CB) enforcement; updates to Pub. 100-04, Medicare Claims Processing Manual, Chapters 4 and 5 to correct remittance advice messages; and more!

This week in Medicare updates–03/09/2016

March 8, 2016
Medicare Insider

This week’s updates include coding revisions to NCDs; the April 2016 hospital OPPS update; and more!

Note from the instructor: April Quarterly OPPS Update Corrects and Clarifies Items from January

March 2, 2016
Medicare Insider

This week’s note is about changes in the April quarterly OPPS update. 

This month's coding Q&A

March 1, 2016
Briefings on APCs

Our experts answer questions about Composite APCs, modifier –CT, and more.

Data accuracy is key for CMS to set payment rates, but guidance must be standardized

March 1, 2016
Briefings on APCs

This month's column is all about data--the importance of providers reporting accurate and complete data, as well as CMS having complete, accurate, and consistent data to compute future payment rates.

Pay attention to the hierarchy when reporting drug administration services

March 1, 2016
Briefings on APCs

The CPT Manual divides drug administration services into three different categories:

  • Hydration (CPT codes 96360-96361)
  • Therapeutic, prophylactic, and diagnostic injections and infusions (96365-96379)
  • Chemotherapy and other highly complex drug or highly complex biologic agent administration (96401-96549)

 

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