News & Analysis

May 1, 2015
Briefings on APCs

When CMS introduced the -X{EPSU} modifiers in August 2014 to be used in specific instances to replace modifier -59 (distinct procedural service), the agency encouraged "rapid migration" to the new modifiers.

May 1, 2015
Briefings on APCs

CMS released updated I/OCE specifications in January with several changes that could require providers to examine claims submitted early in 2015 that include comprehensive APCs (C-APC) to ensure proper payment.

May 1, 2015
Briefings on APCs

Our experts answer questions about IV pushes, ICD-10-CM smoking details, and more.

April 28, 2015
Medicare Insider

This week’s note is about Medically Unlikely Edits. Click the link above for more information and an in-depth analysis.

April 1, 2015
Briefings on APCs

Mental health disorders are common in the United States, with an estimated 19% of Americans 18 or older suffering from a diagnosable mental disorder, according to a 2012 survey from the National Institute of Mental Health (NIMH).

April 1, 2015
Briefings on APCs

Each year, the AMA updates the Vaccines, Toxoids section of the Medicine chapter in the CPT® Manual to add or revise descriptions of newly available products. In 2015, the AMA added two new product codes (90651, 90630) and revised four (90654, 90721, 90723, and 90734).

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