News & Analysis

July 1, 2018
Briefings on APCs

The fiscal year (FY) 2019 ICD-10-CM code update, released on June 11, includes 279 code additions, 143 revisions, and 51 invalidations. The number of changes is significantly less than the past two years, which makes me think we are getting back to the “norm” of expected yearly changes.

July 1, 2018
Briefings on APCs

In the April 2018 OPPS update transmittal, CMS announced new HCPCS code C9749 (repair of nasal vestibular lateral wall stenosis with implant[s]), effective April 1, 2018.

June 6, 2018
Medicare Insider

This week’s Medicare updates include the July updates for the OPPS and ambulatory surgical center payment system, a new national coverage analysis for vagus nerve stimulation as a treatment for treatment-resistant depression, an advisory opinion related to telemedicine, and more!

June 1, 2018
Briefings on APCs

Predicting CMS policies can be a foolhardy exercise, especially with a relatively new administration and frequent turnover at the highest levels of HHS over the last year. But it’s safe to say drug payment policy has been and will continue to be a focus of the current regime.

June 1, 2018
Briefings on APCs

Healthcare providers are often confused about what a commercial or managed care payer would want in order to approve the claim. Much of this confusion comes from the timing of requirements to ensure reimbursement.

June 1, 2018
Briefings on APCs

A common error and audit finding affecting providers is the lack of a physician order or physician signatures on medical documentation.

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