News & Analysis

December 1, 2021
Briefings on APCs

The American Medical Association recently updated the CPT code set to include 249 new and 93 revised codes, which go into effect January 1. Review significant updates the musculoskeletal, cardiovascular, and digestive chapters of CPT.

December 1, 2021
HIM Briefings

The complexity of hospital charges and billing has generated confusion among the general public. Taking practical steps to improve communication, outreach, and education can help clear up misconceptions.

December 1, 2021
Medicare Insider

This week’s Medicare updates an OIG review of facility initiated discharges in nursing homes, an MLN fact sheet on Medicare coverage and documentation requirements for breast prostheses and supplies, a transmittal regarding implementation of the payment reduction for physical therapist assistant/occupational therapist assistant services, and more! 

December 1, 2021
Briefings on APCs

Joe Rivet, Esq., CCS-P, CPC, CEMC, CHC, CCEP, CHRC, CHPC, CICA, CPMA, CAC, CACO, writes about key regulatory updates in the 2022 Outpatient Prospective Payment System (OPPS) final rule, including increased price transparency penalties, changes to the inpatient-only list, and payment changes.

December 1, 2021
Case Management Monthly

The 2022 OPPS final rule is out, and as predicted, CMS reversed its plan to eliminate the inpatient-only list over the next three years.

December 1, 2021
Briefings on APCs

ICD-10-CM codes for traumatic fractures specify the type of bone injury, affected area of the body, and in some cases, the degree of soft tissue damage. Review orthopedic terminology and documentation requirements for traumatic fractures to resolve the coding challenges. 

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