News & Analysis

July 12, 2016
News & Insights

Is diagnosis no longer a criteria for the observation APC payment?

July 8, 2016
News & Insights

CMS released the 2017 Medicare Physician Fee Schedule proposed rule yesterday, with policies that look to expand an Innovation Center program, revise payment for care management services, and collect data regarding global period payments. 

July 8, 2016
News & Insights

CMS proposes aligning its conditional packaging modifiers and deleting a much-maligned modifier for separately payable laboratory tests in the 2017 OPPS proposed rule, released July 6. 

July 7, 2016
News & Insights

CMS is looking to implement the Section 603 provisions of the Bipartisan Budget Act of 2015 regarding off-campus, provider-based departments by January 1, 2017, according to the 2017 OPPS proposed rule, released yesterday. 

July 1, 2016
Briefings on APCs

Anatomical modifiers qualify a HCPCS/CPT® code by defining where on the body the service was provided. These modifiers are especially helpful to indicate services that would normally be considered bundled but were actually performed on different body sites.

July 1, 2016
Briefings on APCs

Congressional legislation is often written in a way that obfuscates or, at the very least, makes it difficult to discern the impact or intent of a bill.

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