News & Analysis

August 7, 2019
News & Insights

This week’s Medicare updates include proposed and final rules for several of Medicare’s prospective payment systems, the 2020 ABN form for download, an article about compliance with the three-day stay rule for SNF admission, and more. 

August 7, 2019
HIM Briefings

Starting January 1, 2020, the education and operations testing period will kick off, and organizations will be required to report appropriate use criteria (AUC) consultation information. Learn what you can do now to help your organization prepare to report AUCs in 2020 and beyond.

August 7, 2019
News & Insights

CMS is proposing several revisions to its clinical diagnostic laboratory date of service (DOS) policy in the FY 2020 OPPS proposed rule, including requiring ordering physicians to determine whether tests are intended to guide treatment during a current or future outpatient encounter.

August 5, 2019
News & Insights

Q: We have a case in which there was an observation order for a patient with Medicare Part B as a primary insurance and Cigna as a secondary insurance. If this is billed to Medicare and denied, can the secondary insurance be billed?

August 2, 2019
News & Insights

The January 1, 2020, deadline for reporting Appropriate Use Criteria (AUC) for advanced diagnostic imaging is fast approaching—but organizations can’t wait until the new year to prepare.

August 1, 2019
Briefings on APCs

Behavioral health is a highly specialized area of coding that many coders and billers are unfamiliar with. There are hundreds of ICD-10-CM codes for mental disorders with unique characters to specify symptoms and complications.

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