News & Analysis

May 1, 2019
Briefings on APCs

The most commonly reported CPT codes are getting a much-needed makeover. Shannon McCall, RHIA, CCS, CCS-P, CPC, CEMC, CRC, CCDS, writes about E/M code changes implemented this year and changes for implementation over the next two years.

April 15, 2019
Medicare Web

Q: What are the recommended key performance indicators to include on a payer scorecard?

April 12, 2019
Medicare Web

CMS released a bulletin April 10 on behalf of HHS seeking providers to participate in a volunteer Provider Pilot Program to test the process for reviewing compliance with its HIPAA Administrative Simplification rules.

April 10, 2019
Medicare Web

Representatives from CMS and the Office of Inspector General (OIG) discussed hot topics and focus areas at HCCA's 2019 Compliance Institute in Boston, including developing interactive documentation checklists, potential changes to Stark Law this year, and methods to address the high rate of coding and documentation errors on inpatient rehabilitiation facility (IRF) claims.

April 1, 2019
Briefings on APCs

Telehealth services are likely to promote health, wellness, and disease management, providing an avenue to offer efficient, high-quality care while supporting value-based care in a cost-effective manner. Although the benefit of telehealth is obvious and its value is continually highlighted by CMS, it appears the services are underutilized.

March 1, 2019
Briefings on APCs

In the 2018 OPPS final rule, CMS removed total knee arthroplasty (TKA) from the inpatient-only (IPO) list effective January 1, 2018. Although some guidance was provided at the time, providers and physicians alike were left confused with a significant number of questions regarding documentation and inpatient status