News & Analysis

October 28, 2020
News & Insights

The full U.S Court of Appeals declined to reconsider two recent decisions that upheld CMS’ cuts to reimbursement for certain off-campus provider-based department (PBD) visits and drugs acquired under the 340B program, the American Hospital Association (AHA) announced October 19.

October 28, 2020
HIM Briefings

The discovery of an overpayment raises serious questions about compliance requirements. Understand your organization’s reporting obligation and appropriate methods for determining overpayments.

October 26, 2020
Briefings on HIPAA

Q: Can an independent radiology facility mail postcards with a reminder that it's time for patients to schedule? The postcard would include the patient's name and address, obviously, but then either a check mark by screening mammogram or the words “follow-up exam.”

October 26, 2020
News & Insights

Q: Starting January 1, 2021, CMS will be lowering reimbursement for high throughput novel coronavirus (COVID-19) diagnostic tests from $100 to $75. I understand that if certain requirements are met labs will be eligible to bill for a $25 add on code. How can we meet the requirements for the add on code?

October 23, 2020
News & Insights

Q: Are there fiscal year 2021 ICD-10-PCS codes our coding team can use for Introductions of therapeutics for our inpatients with COVID-19?

October 23, 2020
Case Management Monthly

Case management lost a significant figure on August 30 when Karen Zander passed away at the age of 72. Considered a pioneer in the field, Karen devoted herself to advancing case management and making contributions and role modifications to match the rapid, changing needs of modern healthcare.

Pages