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 4, 2023
Medicare Insider

This week’s Medicare updates include guidance on using the 340B modifier in relation to the Part B inflation rebate, the January 2023 update to the ASC payment system, provider education on prior authorization for facet joint interventions, and more!

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.

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