News & Analysis

Data accuracy is key for CMS to set payment rates, but guidance must be standardized

March 1, 2016
Briefings on APCs

This month's column is all about data--the importance of providers reporting accurate and complete data, as well as CMS having complete, accurate, and consistent data to compute future payment rates.

Pay attention to the hierarchy when reporting drug administration services

March 1, 2016
Briefings on APCs

The CPT Manual divides drug administration services into three different categories:

  • Hydration (CPT codes 96360-96361)
  • Therapeutic, prophylactic, and diagnostic injections and infusions (96365-96379)
  • Chemotherapy and other highly complex drug or highly complex biologic agent administration (96401-96549)

 

This week in Medicare updates–03/02/2016

March 1, 2016
Medicare Insider

This week’s updates include substantial revisions to QIO Manual for reviews involving potential administrative sanctions; Comprehensive Care for Joint Replacement Model (CJR) provider education; and more!

This month's coding Q&A

March 1, 2016
Briefings on APCs

Our experts answer questions about Composite APCs, modifier –CT, and more.

Newly approved Recovery Auditor issues - 02/24/2016

February 24, 2016
Medicare Insider

There are two newly approved Recovery Auditor issues.

Note from the instructor: More Good News Regarding Expanded Preventive Services

February 24, 2016
Medicare Insider

This week’s note is about coverage for preventative services. 

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