News & Analysis

December 11, 2017
Medicare Web

 Can a facility bill a cancelled inpatient-only procedure on Type of Bill 131 or does the patient type/status remain as inpatient with Type of Bill 111?

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 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 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 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. 

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