News & Analysis

September 1, 2016
Briefings on APCs

 CMS proposes aligning its conditional packaging logic with how it applies packaging to labs, while also proposing to delete the much-maligned modifier -L1 for separately payable laboratory tests in 2017.

August 24, 2016
Medicare Insider

This week’s Medicare updates include the October 2016 Integrated Outpatient Code Editor specifications version 17.3; the Medicare Fee for Service (FFS) Recovery Audit program third quarter summary newsletter; and more!

August 19, 2016
News & Insights

CMS’ proposed changes to implement Section 603 of the Bipartisan Budget Act of 2015 and reshape payments for off-campus, provider-based departments represent the most significant changes in the current year 2017 OPPS proposed rule. 

August 12, 2016
News & Insights

The August 2 issue of Revenue Cycle Daily Advisor included a question about benchmark conversion rates from observation to inpatient status. With regard to that question, I think it may be helpful to know the average national conversion rate and average rate for critical access hospitals. Do you have that information?

August 11, 2016
News & Insights

HCPro is gathering information about case management needs for future products. Please take this short survey and we will enter you in a drawing for a free, on-demand HCPro webcast of your choice! Click here to take the survey.

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.

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