News & Analysis

April 1, 2016
Briefings on APCs

The new modifier -PO (services, procedures, and/or surgeries furnished at off-campus provider-based outpatient departments [PBD]) and the alternative payment provisions under the Bipartisan Budget Act Section 603 are both related to off-campus PBDs but define "off-campus PBD" slightly differently.

March 30, 2016
Medicare Insider

This week’s note is about clarifications in the April Integrated Outpatient Code Editor update. 

March 22, 2016
Medicare Insider

This week’s updates include implementation of the award for Jurisdiction A DME MAC workload; April 2016 Integrated Outpatient Code Editor (I/OCE) Specifications Version 17.1; and more!

March 2, 2016
Medicare Insider

This week’s note is about changes in the April quarterly OPPS update. 

March 1, 2016
HIM Briefings

One of the last major shifts in coding before the transition to ICD-10 was the introduction of diagnosis-related groups (DRG) in 1982. Now that the struggle to implement ICD-10 has passed, how do the two transitions measure up? Both Wendy Coplan-Gould, RHIA, president of HRS Coding in Baltimore, and Sallee Silverman, RHIA, an AHIMA-approved ICD-10 trainer and a manager with HRS Coding, were actively working in healthcare through both shifts and shared their thoughts with HIM Briefings shortly after ICD-10 went live in October 2015. When DRGs were introduced, Coplan-Gould was working as the associate director of the Maryland Resource Center in Maryland.

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)

 

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