News & Analysis

December 7, 2017
Medicare Insider

This week's note from the instructor examines the process of deciding when to appeal a denial. 

December 6, 2017
Medicare Insider

This week’s Medicare updates include an extension for S-10 worksheet submission, implementation plans for computed radiography payment reductions, a new national coverage article for a genetic sequencing diagnostic test for cancer patients, and more!

December 6, 2017
Medicare Web

For the first time in over a decade, CMS has posted a decision memo with a 30-day public comment period for the National Coverage Determination on implantable cardioverter defibrillators.

 

December 4, 2017
Medicare Web

We found out after an observation patient was discharged that one of the procedures performed was an inpatient-only procedure. Can we bill this to Medicare without an official inpatient order on the medical record?

December 1, 2017
Briefings on APCs

CMS is moving forward with its plan to drastically cut payments for drugs acquired through the 340B drug discount program, according to the 2018 OPPS final rule, released in November. 

December 1, 2017
Briefings on APCs

Although every claim denial should be tracked, not every denial should be appealed. Learn about how and when to appeal Medicare claims denials. 

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