News & Analysis

January 17, 2024
Briefings on APCs

Michael Malohifo’ou, RN, MBA, PhD, explains how excessive use of emergency departments can result in unfavorable outcomes. He also assesses the complicated relationships between EDs, social determinants of health ICD-10-CM coding, and mental and behavioral health CPT services.

January 10, 2024
Briefings on APCs

The 2024 ICD-10-CM update added 36 codes to the now nearly 400 codes in category M80.- (osteoporosis with current pathological fracture). The additional codes add further specificity for pelvis fractures due to age-related osteoporosis.

January 3, 2024
Medicare Insider

This week’s Medicare updates include instructions on new condition code 92, a proposed rule on new appeal processes for certain beneficiaries, and more!

January 3, 2024
Briefings on APCs

A scan of healthcare news sources or the Office of Inspector General work plan often finds psychiatry and mental health practices under scrutiny. Laurie Bouzarelos, MHA, CPC, reviews revenue cycle functions, provider contracting/credentialing, and coding and documentation tips to avoid denials.

December 20, 2023
Medicare Insider

This week’s Medicare updates include revised guidance for the Medicare Prescription Drug Inflation Rebate Program, information on global surgery package requirements, and more!

December 13, 2023
Briefings on APCs

Part B physicians will have to prepare for a net 3.4% payment decrease across services in 2024, according to the 2024 Medicare Physician Fee Schedule final rule, which covers numerous operational areas for medical groups, including new coverage opportunities and billing revisions to coding and compliance updates.

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