News & Analysis

May 3, 2023
Medicare Insider

This week’s Medicare updates include an FAQ on the PHE conclusion, a fact sheet on hospital price transparency enforcement updates, HCPCS application summaries and coding recommendations, and more! 

April 26, 2023
Medicare Insider

This week’s Medicare updates include two additions to the OIG’s Work Plan, the publication of Medicare-certified hospice and home health agency ownership data, and more!

April 12, 2023
Briefings on APCs

E/M coding guidelines for emergency department services (CPT codes 99281-99285) were recently updated for the first time in decades. Hamilton Lempert, MD, FACEP, CEDC, reviews these changes, along with coding requirements for many other E/M services.

April 5, 2023
Briefings on APCs

Kathleen M. Romero, MSN, RN, EBP-C, Cynthia Beal, MBA-HCM, BSN, RN, and Renee Pate, MSOL, MSN Ed., RN, CCDS, explain how they implemented a CDI program in their facility’s emergency department and the how establishing this program improved coding accuracy and increased reimbursement.

February 1, 2023
Briefings on APCs

With reimbursement gains whittled down by CMS' attempt to remedy unlawful cuts to 340B drug payments, complying with updated Outpatient Prospective Payment System (OPPS) policies is key to protecting reimbursement. Take a closer look at CMS' latest policies and ensure your organization is in compliance.

February 1, 2023
HIM Briefings

The 2023 Medicare Physician Fee Schedule ushered in a slew of changes to payment rates, coding guidelines, and telehealth coverage. Review key changes to ensure your organization is in compliance.

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