News & Analysis

March 1, 2021
Briefings on APCs

Though the adoption of outpatient CDI has been growing steadily over the years, it’s not always easy to prove the return on investment for such efforts.

February 19, 2021
Case Management Monthly

The elimination of the IPO list is planned to be a gradual process that will take three years to fully implement. This year, CMS removed over 300 surgical procedures from the list, primarily cutting the list of musculoskeletal-related procedures, which was reduced from 1,700 to 1,441. The removal of these procedures from the IPO list allows doctors who perform them to be paid for procedures performed on an outpatient basis.

February 1, 2021
Briefings on APCs

Review coronary anatomy and CPT coding for aortic and iliac repairs, as well as selective procedures used to treat vascular occlusions in the lower extremities.

January 1, 2021
Briefings on APCs

This article details 2021 updates to CPT® codes for medicine services including several new codes for continuous electrocardiogram (ECG) recordings and auditory-evoked potentials (AEP), as well as American Medical Association (AMA)-approved CPT codes for COVID-19 immunizations.

January 1, 2021
Briefings on APCs

Section 1862 (l) and Section 1869 (f)(2)(B) of the Social Security Act (the Act) sets forth general procedures to develop and evaluate Medicare coverage determinations that are either adopted nationally by CMS or created and applied locally by a Medicare Administrative Contractor (MAC) within the MAC’s own jurisdictional boundaries.

January 1, 2021
Briefings on APCs

Hospital coding for pregnancy-related services requires a detailed understanding of the CPT® global obstetric (OB) package and ICD-10-CM coding guidelines for maternal care management. This article details hospital coding for pregnancy and delivery complications and procedures used to treat them.

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