News & Analysis

June 1, 2016
News & Insights

Q: Our providers are reluctant to document a correlation between symptoms and a detailed diagnosis. Do you have any good ways to get them to do this? For example, our providers document "diabetes" but they often don't include additional details that should be there (e.g., gestational diabetes or type II diabetes mellitus in pregnancy).

 

June 1, 2016
Briefings on APCs

The April 2016 I/OCE update brought a host of code and status indicator changes, as well as corrections to CMS' large January update that instituted policies and codes from the 2016 OPPS final rule.

June 1, 2016
Briefings on APCs

CMS' coding modifiers are not always used to report clinical components of a service. Sometimes they can be used in order to provide information about how a service relates to Medicare coverage policies.

May 31, 2016
Medicare Insider

This week’s updates include July calendar year 2016 quarterly update to the Medicare Physician Fee Schedule Database; Claim Status Category and Claim Status Codes update; and more!

May 25, 2016
Medicare Insider

This week’s updates include a survey and certification letter for the adoption of 2012 Life Safety and Health Care Facilities Code; the July 2016 updates to the Integrated Outpatient Code Editor and hospital OPPS; and more!

May 25, 2016
Medicare Insider

This week’s note is about changes in the July 2016 OPPS update.

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