News & Analysis

January 17, 2017
Medicare Web

Obtaining appropriate inpatient status orders for inpatient-only procedures can be difficult due to the EMR and written orders that are still in existence. Is it true that if the surgeon or attending physician orders observation/outpatient status after an inpatient-only procedure that we must bill as outpatient? Can we use our utilization review committee to overturn the observation/outpatient order in this scenario? Please advise. 

January 11, 2017
Medicare Web

This week’s Medicare updates include the Cardiac Rehabilitation Incentive Payment Model final rule and changes to the Comprehensive Care for Joint Replacement Model, guidance for clinical laboratory data reporting, and more!

January 11, 2017
Medicare Insider

This week's note discusses important 2017 OPPS update transmittals and final rule corrections.

January 4, 2017
Medicare Insider

This week’s Medicare updates include corrections to the OPPS, ESRD, and 2017 Physician Fee Schedule final rules, a renewal of the Advisory Panel on Hospital Outpatient Payment and Solicitation of Nominations to the Advisory Panel on Hospital Outpatient Payment, and more!

January 4, 2017
Medicare Insider

This week's note from the instructor reviews Medicare’s offset rules to drugs and biologicals.

January 1, 2017
Briefings on APCs

One area of CPT coding that saw big changes for 2017 is for dialysis circuit coding. The existing codes have all been deleted, and new codes have been created (36901-36909) for reporting these procedures.  

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