News & Analysis

February 1, 2019
Briefings on APCs

In 2018, most organizations held the line on coder productivity, according to the results of sister publication HIM Briefings’ 2018 coding productivity survey.

February 1, 2019
Briefings on APCs

Modifier -JW is used to describe drug amounts that are discarded and not administered to any patient. This does not reduce the payment for the drugs, so this is an informational modifier, but it is a mandatory modifier.

February 1, 2019
Briefings on APCs

Pay close attention to new CPT documentation and coding guidance for reporting radiological imaging. For example, a new paragraph titled “Imaging Guidance” in both the surgery and medicine guidelines advises that even when imaging guidance or supervision are included in a surgical procedure code, you must still follow the radiology documentation requirements in the CPT manual.

January 30, 2019
Medicare Insider

This week’s Medicare updates include a Special Edition MLN Matters article on the removal of total knee arthroplasty from the inpatient-only list, manual changes related to functional reporting requirements and outpatient therapy caps, the April 2019 quarterly average sales price drug pricing files, and more!

January 30, 2019
Medicare Web

Mandatory participation in Medicare bundled payment programs may yield better results, the U.S. Government Accountability Office (GAO) said in a report released January 22.

January 23, 2019
Medicare Insider

This week’s Medicare updates include four new additions to the OIG work plan; provider compliance tip sheets on tracheostomy supplies, ventilators, canes, and crutches; a national coverage analysis on acupuncture as a treatment for low back pain; and more! 

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