News & Analysis

April 29, 2014
Medicare Insider

This week’s note is about coding, billing, and payment for skin substitute products. Click the link above for more information and an in-depth analysis.

April 1, 2014
Strategies for Healthcare Compliance

CMS has finalized changes to packaged services and E/M CPT® codes for clinic visits with the much-anticipated November 27, 2013 release of the 2014 outpatient prospective payment system (OPPS) final rule.

April 1, 2014
Briefings on APCs

The January 2014 quarterly I/OCE update included nearly 400 new HCPCS Level II codes, but the most significant changes for providers may center on relatively few codes, as a result of modifications CMS made in the 2014 OPPS final rule.

March 1, 2014
Briefings on APCs

 

CMS has been making it clear over the years that packaging would become a larger and larger part of OPPS, and in calendar year (CY) 2014 CMS made good on this.

 

February 1, 2014
Briefings on APCs

CMS replaces clinic E/M visit levels with single G-code, collapses EAM levels

 

February 1, 2014
Briefings on APCs

In the 2014 OPPS Final Rule, CMS has dramatically increased packaged services and made clear that the trend will continue in 2015 and beyond.

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