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News & Analysis

January 13, 2021
Medicare Web

UnitedHealthcare (UHC) is suspending certain prior authorization requirements for in-network hospitals and skilled nursing facilities through January 31.

January 13, 2021
Medicare Insider

This week’s Medicare updates include payment adjustment information from the Consolidated Appropriations Act, revisions to information in the COVID-19 billing FAQ document, a notice of funding opportunity for development of radiology quality measures, and more! 

January 6, 2021
Medicare Insider

This week’s Medicare updates include three advisory opinions, billing information for Most Favored Nation model drugs, the January 2021 OPPS update, and more! 

January 6, 2021
Medicare Web

The Office of Inspector General (OIG) will be conducting a second round of audits to determine whether acute care hospitals are being inappropriately reimbursed for outpatient services provided to inpatients, according to a recent update to the OIG’s Work Plan.

January 4, 2021
Medicare Web

Q: Are procedures removed from the inpatient-only (IPO) list in 2021 subject to the 2-midnight rule?

January 1, 2021
Briefings on APCs

This article details 2021 updates to CPT® codes for medicine services including several new codes for continuous electrocardiogram (ECG) recordings and auditory-evoked potentials (AEP), as well as American Medical Association (AMA)-approved CPT codes for COVID-19 immunizations.

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