News & Analysis

April 1, 2022
Briefings on APCs

Certain provider services such as acupuncture and cosmetic surgery are not reimbursed by Medicare. This article describes when and how to apply HCPCS modifiers for non-covered services.

March 30, 2022
Medicare Insider

This week’s Medicare updates include the April update for the OPPS, the April update for the Ambulatory Surgical Center Payment System, a revision to the Program Integrity Manual to clarify information regarding provider enrollment, and more!

March 23, 2022
Medicare Insider

This week’s Medicare updates include new additions to the OIG Work Plan, an advisory opinion on subsidizing items in a clinical trial, an OIG data brief on telehealth use, and more!

March 16, 2022
Medicare Insider

This week’s Medicare updates include the April 2022 update for the IPPS, a correction for claims processing when osteoporosis drugs are billed for other indications, the April 2022 update for the DMEPOS fee schedule, and more! 

March 9, 2022
Medicare Insider

This week’s Medicare updates include CLIA guidance for temporary testing sites, an NCA on cochlear implantation, an update to manual language regarding critical care E/M services, and more!

March 2, 2022
Medicare Insider

This week’s Medicare updates include an OIG review of bariatric surgery, an announcement on a redesigned ACO for 2023, the quarterly update to the ESRD prospective payment system, and more!

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