News & Analysis

March 1, 2014
Briefings on APCs

 

When an NCCI edit occurs on a claim, providers can go directly to CMS’ website and download the latest edits to pinpoint why the edit occurred and what codes may be conflicting.

 

March 1, 2014
Briefings on APCs

How does CPT® define “final examination” for code 99238 (hospital discharge day management; 30 minutes or less

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

In the 2014 OPPS Final Rule, CMS offered the following -example for billing a laboratory test on the same date of service as the primary service, but ordered for a different purpose than the primar

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.

February 1, 2014
Briefings on APCs

In addition to increased packaging and collapsing of E/M clinic visit level CPT® codes in the 2014 OPPS -Final Rule, CMS made additional changes that will have an immediate impact on reimbursement

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