News & Analysis

October 1, 2020
Briefings on APCs

Outpatient coders should be familiar with CPT reporting for knee surgeries based on information in the operative note. This article reviews the anatomy of the knee joint and CPT coding for arthroscopic and reconstructive procedures used to visualize and treat common knee conditions.

September 30, 2020
Medicare Insider

This week’s Medicare updates include revisions to the OPPS quarterly update implementation transmittal, slides on Medicare payment for COVID-19 viral testing at skilled nursing facilities, 2021 benefit and cost-sharing information for Medicare Advantage and Part D plans, and more! 

September 30, 2020
News & Insights

Organizations that received Provider Relief Fund payments of more than $10,000 will be required to report information on how PRF payments were used as well as  expenses related to the novel coronavirus that were not reimbursed (COVID-19), according to new HHS guidance.

September 30, 2020
HIM Briefings

Drafting an effective appeal in response to payer audits and overpayment demands goes beyond just coding and billing; it also often requires a deeper analysis and technical response. Discover methods to improve your appeals strategy with an eye on facts and compliance.

September 28, 2020
News & Insights

Q: What changes to inpatient dialysis MS-DRGs did CMS finalize in the 2021 Inpatient Prospective Payment System final rule?

September 25, 2020
News & Insights

Q: When would it be appropriate to report modifier -58 for a procedure performed during the postoperative period?

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