News & Analysis

January 4, 2023
Case Management Monthly

CMS recently issued a fact sheet on 2022 trends in improper Medicare payments, outlining where and why problems are occurring. 

January 1, 2023
Briefings on APCs

As of November 16, the CPT Editorial Panel has approved 56 Category I codes for severe acute respiratory syndrome coronavirus 2 vaccines and immunization administration. In this article, Kimberly Lee, M.Ed., RHIA, CCS-P, addresses some of the new COVID-19 product and administration codes.

December 23, 2022
Medicare Insider

This week’s Medicare updates include additional corrections to the FY 2023 IPPS final rule, new items for the OIG Work Plan, a proposed rule on Medicare Advantage changes, and more!

December 21, 2022
Briefings on APCs

Medicare finalized a care management service for chronic pain management (CPM). Effective January 1, CPM services can be reported by a wide range of providers, including primary care practitioners.

December 21, 2022
HIM Briefings

An efficient, effective revenue integrity program is an important part of protecting revenue and driving process improvements. Use these tips to ensure your program is reaching peak performance.

December 14, 2022
Briefings on APCs

CMS confirmed in the 2023 Medicare Physician Fee Schedule final rule that it will adopt the framework of the revised AMA E/M guidelines, including payment based on medical decision-making (MDM) or time, effective January 1, 2023. Laura Evans, CPC, explains how the agency will diverge from the AMA on some points, however.

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