News & Analysis

January 20, 2020
Medicare Web

Q: It's been recommended that we develop a chargemaster maintenance team. What departments and roles should be part of this team? Who should lead it?

January 15, 2020
Medicare Insider

This week’s Medicare updates include a Special Edition MLN Matters article on appropriate use criteria changes, updates to beneficiary notice forms, a beta version of an ICD-10-CM browsing tool, and more!

January 15, 2020
Medicare Web

HHS’ Health Resources and Services Administration (HRSA) should step up oversight of hospitals participating in the 340B drug discount program, the U.S. Government Accountability Office (GAO) recommended in a recent report.

January 13, 2020
Medicare Web

Q: What is the process for submitting a claim for an inpatient hospitalization when our utilization review committee determined after discharge that the inpatient admission was not medically necessary?

January 8, 2020
Medicare Insider

This week’s Medicare updates include transmittals on new provider specialty codes for opioid treatment programs, the implementation transmittal for the Ambulatory Surgical Center Payment System, correction notices for the 2020 Medicare Physician Fee Schedule final rule and Outpatient Prospective Payment System final rule, and more! 

January 6, 2020
Medicare Web

Q: How do we report total observation time when during the encounter the patient also received bundled services that include observation?

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