News & Analysis

July 1, 2014
Briefings on APCs

Adding modifiers to CPT® codes can bypass NCCI edits for Medicare payments, but they're often misapplied.

June 24, 2014
Medicare Insider

This week’s note is about modifier -59. Click the link above for more information and an in-depth analysis.  

June 10, 2014
Medicare Insider

This week’s note is about laboratory billing and payment. Click the link above for more information and an in-depth analysis.  

June 1, 2014
Briefings on APCs

CMS made relatively few changes in the April quarterly I/OCE update, introducing four new APCs, deleting one, and reclassifying several skin substitute codes.

June 1, 2014
Briefings on APCs

Hospital outpatient therapeutic services, such as ED or clinic visits, that are paid under the OPPS or to critical access hospitals (CAH) on a cost basis must be furnished "incident to" a physician's service to be covered.

June 1, 2014
Briefings on APCs

Our experts answer questions on billing self-administered drugs, necessary documentation for spinal fusions, and more.

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