Reduced and discontinued service modifiers indicate to the payer when service is either less than the HCPCS code indicates (reduced) or the procedure was stopped before completion (discontinued).
The Office of Inspector General is stepping up audits of inpatient rehabilitation facility (IRF) claims. Use these expert tips to ensure your facility is coding and billing correctly for these services.
This week’s Medicare updates include the Inpatient Prospective Payment System proposed rule, the announcement of a set of voluntary payment models focusing on primary care, the quarterly update for the End-Stage Renal Disease Prospective Payment System, and more!
Q: Does CMS' molecular pathology/advanced diagnostic laboratory test date of service policy apply to Traditional Medicare only or does it also apply to Medicare Advantage?
This week’s Medicare updates include proposed rules for the inpatient rehabilitation facility, inpatient psychiatric facility, and skilled nursing facility payment systems; a proposed rule on the 2020 hospice payment rate update; a draft of new guidance on ligature risks; and more!
