News & Analysis

October 1, 2018
Briefings on APCs

It's been more than three years since CMS introduced a subset of modifiers it wants providers to report instead of modifier -59 (distinct procedural service), but they're still optional as barely any new guidance has been released.

October 1, 2018
Briefings on APCs

CMS recently released updated guidance on billing intensity-modulated radiation therapy (IMRT) after an OIG audit found a 100% error rate in billing certain IMRT planning services.

October 1, 2018
Briefings on APCs

Developing an outpatient CDI program isn't just about metrics--departments needs to consider how to engage providers and interact with other teams to be truly effective.

September 26, 2018
Medicare Insider

This week’s Medicare updates include information on special waivers to assist Medicare providers, suppliers, and beneficiaries impacted by Hurricane Florence; a proposed rule on changes to various Medicare requirements, Conditions of Participation, and Conditions of Coverage; a review of Medicare payments for clinical laboratory tests; and more! 

September 19, 2018
Medicare Insider

This week’s Medicare updates include CMS’ support for Hurricane Florence preparation, ICD-10 and other coding revisions to national coverage determinations, quarterly HCPCS drug/biological code changes, and more!

September 19, 2018
Medicare Web

Q: Are there reimbursement codes for transition services that case managers provide?

Pages