News & Analysis

December 1, 2020
Briefings on APCs

CMS' new final rule prepares for vaccine coverage for Medicare, Medicaid, and commercial insurers without any out-of-pocket costs. CMS will pay for any coronavirus vaccine that receives FDA authorization either through an Emergency Use Authorization or via a license under a Biologics License Application.

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.

November 25, 2020
Medicare Insider

This week’s Medicare updates include three new additions to the OIG Work Plan, a new webpage on billing and coding for COVID-19 monoclonal antibody treatment, a transmittal on the implementation of two new NUBC condition codes, and more!

November 25, 2020
News & Insights

CMS finalized the long-awaited Stark Law final rule on November 20. The final rule includes significant changes to exceptions to the law as well as expanded guidance and clarification.

November 25, 2020
HIM Briefings

A formal CDI program can address many of the challenges home health agencies face, but knowing how to start one isn’t easy. Consider these tips to create a focused home health CDI program.

November 23, 2020
News & Insights

Q: How much will Medicare pay for FDA-approved or emergency use authorized COVID-19 vaccines?

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