News & Analysis

January 1, 2021
Briefings on APCs

Section 1862 (l) and Section 1869 (f)(2)(B) of the Social Security Act (the Act) sets forth general procedures to develop and evaluate Medicare coverage determinations that are either adopted nationally by CMS or created and applied locally by a Medicare Administrative Contractor (MAC) within the MAC’s own jurisdictional boundaries.

December 30, 2020
HIM Briefings

Use this sample billing and charge audit procedure as a template for your organization.

December 23, 2020
Medicare Insider

This week’s Medicare updates include three new OIG work plan topics, updated payment and coding information for the Pfizer-BioNTech COVID-19 vaccine, the 2021 Clinical Laboratory Fee Schedule changes, and more!

December 21, 2020
News & Insights

Q: What are some key revenue cycle topics that should be included in education geared toward clinical staff?

December 16, 2020
News & Insights

CMS released new and updated FAQs on Medicare Part B billing and reimbursement for COVID-19 treatments and vaccines.

December 16, 2020
Medicare Insider

This week’s Medicare updates include an infographic on monoclonal antibody coverage, a revision to a Special Edition MLN Matters article on COVID-19 PHE flexibilities for rural health clinics, updated FAQs on billing for services related to COVID-19, and more!

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