News & Analysis

November 18, 2015
Medicare Insider

This week’s updates include an update to the list of compendia for the determination of a “Medically-Accepted Indication” of drugs and biologicals used off-label in an anti-cancer chemotherapeutic regimen; a payment reduction for Computed Tomography (CT) diagnostic imaging services; and more!

November 12, 2015
Medicare Insider

This week’s note is on billing changes for off-campus hospital departments.

November 11, 2015
Medicare Insider

This week’s updates include updates to clarify inpatient rehabilitation facility (IRF) claims processing; a revised hospital guidance for pharmaceutical services and expanded guidance related to compounding of medications; and more!

November 5, 2015
Medicare Insider

In a surprising announcement on Friday, October 30, the Office of Inspector General (OIG) may have delivered some good news to hospitals who are diligently following prior CMS guidance on billing patients for SADs provided in the outpatient setting.

November 4, 2015
Medicare Insider

This week’s updates include an NCD for single chamber and dual chamber permanent cardiac pacemakers; a Medicare Compliance Review of Boca Raton Regional Hospital, Inc., for 2011 and 2012; and more!

November 1, 2015
HIM Briefings

Provider-based clinics and departments are increasingly common, but the rules for provider-based billing can often be confusing, especially given recent changes to modifiers and place of service codes.

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