News & Analysis

August 10, 2016
Medicare Insider

This week’s note is a continuation of last week’s note about potential changes to provider-based billing in the OPPS proposed rule.

August 3, 2016
Medicare Insider

This week’s updates include a notice of proposed rulemaking for bundled payment models for high-quality, coordinated cardiac and hip fracture care; FY 2017 rate update for inpatient psychiatric facilities PPS; and more!

August 3, 2016
Medicare Insider

This week’s note is about potential changes to provider-based billing in the OPPS proposed rule.

August 2, 2016
News & Insights

What is a benchmark for conversion rates from observation to inpatient status?

August 1, 2016
Briefings on APCs

Healthcare organizations have become mass gatherers of data. But without sophisticated analytics, integrated IT tools, and processes to mine that data, they may not be able to take advantage of it.

August 1, 2016
Briefings on APCs

CMS' Transmittal 3523, issued May 13, is the quarterly July 1 OPPS update. In this transmittal, CMS briefly mentions billing physical and occupational therapy and speech-language pathology services provided in support of or adjunctive to comprehensive APC (C-APC) services under revenue code 0940 (general therapeutic services) rather than the National Uniform Billing Committee‑defined revenue codes for these services (i.e., 042x, 043x, and 044x, respectively).

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