News & Analysis

April 12, 2021
News & Insights

Q: How does CMS calculate payments to rural health clinics (RHC) subject to the all-inclusive rate (AIR)?

April 7, 2021
Medicare Insider

This week’s Medicare updates include the April update to the ambulatory surgical center payment system, information on COVID-19 Advanced and Accelerated Payment recoupment, an update on an issue with therapy claims, and more! 

April 7, 2021
News & Insights

CMS has begun recovering COVID-19 Accelerated and Advance Payments (CAAP), according to MLN Matters SE21004.

April 7, 2021
HIM Briefings

Effective management of claim edits and denials is a cornerstone of a sound revenue cycle. See how your organization compares to others and what you can do to improve.

April 5, 2021
News & Insights

Q: What revenue codes are used to prevent triggering a copay or deductible when billing Medicare for COVID-19 monoclonal antibodies?

April 1, 2021
Briefings on APCs

The most impactful overhaul to the E/M coding and documentation guidelines in 25 years went live January 1. The updated guidelines eliminate medical history and physical examination as required elements for reporting E/M codes 99202-99215. E/M coding for outpatient visits is now based on documentation of medical decision-making (MDM) or time spent on the encounter.

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