News & Analysis

September 6, 2023
Medicare Insider

This week’s Medicare updates include an OIG featured topic page regarding managed care, the first 10 Part D drugs selected for price negotiation under the Inflation Reduction Act, and more!

August 30, 2023
Medicare Insider

This week’s Medicare updates include information on systematic validation edits for OPPS providers with multiple service locations, draft guidance on the new Medicare Prescription Payment Plan, and more!

August 16, 2023
Briefings on APCs

Terry Tropin, MSHAI, RHIA, CCS-P, reviews the biggest changes to the 2024 ICD-10-CM guidelines and tabular list set to take effect October 1, including deletions of certain COVID-19 screening guidelines, and additional direction for new resistant hypertension and myocardial infarction codes.

August 9, 2023
Briefings on APCs

Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC, writes about coding E/M newborn services, delivery/birthing room attendance, resuscitation services, and circumcision.

August 2, 2023
Briefings on APCs

CMS’ 2024 OPPS proposed rule, released in July, details major changes to price transparency requirements and proposes numerous changes to behavioral health reimbursement, coverage of dental services, and more.

August 2, 2023
Case Management Monthly

If it’s true that no news is good news, then the 2024 Outpatient Prospective Payment System (OPPS) proposed rule should make case managers very happy.

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