News & Analysis

January 1, 2019
Briefings on APCs

The 2019 CPT code update includes 19 code additions and three revisions to the cardiovascular section of the CPT Manual. These changes reflect advances in surgical treatment for cardiovascular conditions such as heart failure and aortic stenosis.

January 1, 2019
Briefings on APCs

Establishing an outpatient CDI program can have substantial benefits. Recently, an outpatient CDI review project demonstrated there were many documentation improvement opportunities at a large family practice/internal medicine physician clinic.

December 12, 2018
HIM Briefings

Follow these steps to ensure that contracts with commercial payers meet goals.

December 12, 2018
News & Insights

A proposed rule that would expand the use of prior authorization and step therapy for Part D and Medicare Advantage beneficiaries has earned criticism from patient advocacy groups and praise from pharmacy groups.

December 12, 2018
Medicare Insider

This week’s Medicare updates include an FAQ on the new price transparency rule for 2019, an update to the Medicare Benefit Policy Manual to include new payment policies for rural health clinics, a fact sheet on the Value-Based Purchasing Program for FY 2019, and more! 

December 10, 2018
News & Insights

Q: If a patient participating in a clinical trial is allergic to one of the drugs used in the trial, how do we report the drug that is used as a substitute?

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