News & Analysis

October 1, 2021
Briefings on APCs

Several CPT modifiers have similar definitions, which can make distinguishing between them challenging. Review guidance for the appropriate application of modifier -51 versus -59 and discontinued service modifiers -52, -53, -73, and -74.

October 1, 2021
Briefings on HIPAA

In its July newsletter, OCR announced a collaboration with the HHS Office of the National Coordinator for Health Information Technology (ONC) to seek user feedback and improvement suggestions on its Security Risk Assessment (SRA) Tool.

September 1, 2021
Briefings on APCs

Review proposed updates to the CPT set for 2022, including new codes for chronic care management, laser interstitial thermal therapy, spinal anesthesia, and more.

September 1, 2021
Case Management Monthly

Audits are ramping up across the country, creating additional headaches for many healthcare organizations as they simultaneously struggle with the delta variant of COVID-19.

September 1, 2021
Case Management Monthly

CMS has reinstated the short-stay reviews and high-weighted DRG reviews originally halted in 2019. The national contract to conduct these reviews was awarded to Livanta, one of the Beneficiary & Family-Centered Care and Quality Improvement Organizations.

July 1, 2021
Case Management Monthly

CMS announced another round of changes to its Bundled Payments for Care Improvement program recently and said that while participation thus far has been voluntary, it may become mandatory starting as early as 2024.

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