News & Analysis

May 19, 2021
Medicare Insider

This week’s Medicare updates include changes to the list of codes requiring prior authorization, an advance copy of implementation information for the Interoperability and Patient Access Final Rule, a resolution to an edit regarding DRG weights, and more!

May 19, 2021
News & Insights

Two CPT® codes are temporarily suspended from the prior authorization program for hospital outpatient departments, CMS announced.

May 12, 2021
Medicare Insider

This week’s Medicare updates include an extension to the Comprehensive Care for Joint Replacement model, updates to payments for ambulance services during the PHE, increased payments for monoclonal antibodies, and more!

May 12, 2021
HIM Briefings

National Correct Coding Initiative (NCCI) edits and Medically Unlikely Edits (MUE) can throw a wrench in the Medicare billing process, delaying appropriate revenue. Learn how to apply recent guidance and best practices to resolve challenging edits.

May 5, 2021
HIM Briefings

Proper use of suspense, or hold, periods can ensure claims are complete and accurate before they go out the door. But without careful monitoring and limits, these periods can create more problems than they solve. Take a look at the hows and whys of suspense periods to ensure your organization is using them appropriately.

May 5, 2021
Medicare Insider

This week’s Medicare updates include the 2022 IPPS proposed rule, a handful of cost reporting form updates, an MLN Booklet on using the Medicare Physician Fee Schedule look-up tool, and more!

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