The final 2021 CPT, ICD-10-CM, and ICD-10-PCS code sets were released in September, introducing new, revised, and deleted codes for diagnostic and procedural services and accompanying guideline changes.
UnitedHealthcare’s (UHC) plan to require in-network, freestanding and outpatient laboratory claims to contain a unique code for most lab testing services is poorly timed and poses significant implementation hurdles, the American Hospital Association (AHA) said.
CMS laid the groundwork for a dramatic revision of MS-DRG rate setting in the 2021 Inpatient Prospective Payment System (IPPS). The agency also rolled out code changes and MS-DRG updates. Ensure your organization is compliance with new requirements.
CMS continues to focus on site-neutral payment policies and keeping payments down for 340B-acquired drugs in the 2021 OPPS proposed rule, released in early August.
Strong documentation and coding support accurate data and help organizations defend against payer audits. Learn how to manage the return of CMS audits and keep documentation and coding in top shape.
