News & Analysis

December 9, 2020
News & Insights

CMS recently published FAQs and other resources to help organizations correctly bill for services that are subject to the three-day payment window policy.

December 7, 2020
News & Insights

Q: For calendar year 2021, what is the inpatient deductible for Medicare beneficiaries' hospital inpatient lifetime reserve days (LRD)?

December 3, 2020
News & Insights

The 2021 OPPS final rule, released December 2, doesn’t pack many surprises, with CMS generally finalizing most policies as proposed or choosing to continue with current policies. This should aid hospitals required to implement many of its policies in just a few short weeks due to the pandemic-disrupted rulemaking cycle.

December 2, 2020
Medicare Insider

This week’s Medicare updates include new guidance on hospital expansion opportunities during the COVID-19 pandemic, revised guidance for ambulatory surgical center staffing during the pandemic, an interim final rule on payment for Part B drugs, and more!

December 2, 2020
News & Insights

CMS announced on November 25 that it is building on the flexibilities granted by the Hospitals Without Walls program to launch the Acute Hospital Care at Home program. Under this program, eligible hospitals will be allowed to treat certain inpatients in the patient’s home.

December 1, 2020
Briefings on APCs

Modifiers provide a means by which a physician or facility can flag a service that has been altered by a special circumstance but has not changed in definition or code. Break down CPT guidelines for reporting hospital modifiers -25, -50, -59, -LT, and RT.

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