News & Analysis

March 1, 2016
Briefings on APCs

The CPT Manual divides drug administration services into three different categories:

  • Hydration (CPT codes 96360-96361)
  • Therapeutic, prophylactic, and diagnostic injections and infusions (96365-96379)
  • Chemotherapy and other highly complex drug or highly complex biologic agent administration (96401-96549)

 

March 1, 2016
Briefings on APCs

This month's column is all about data--the importance of providers reporting accurate and complete data, as well as CMS having complete, accurate, and consistent data to compute future payment rates.

March 1, 2016
Briefings on APCs

The 2016 CPT® code update may have been relatively small compared to previous years, but the urinary and genital system sections did receive numerous changes to align them with other sections of the code book.

March 1, 2016
Briefings on APCs

Our experts answer questions about Composite APCs, modifier –CT, and more.

February 16, 2016
Medicare Insider

This week’s updates include identifying "No Documentation" medical necessity denials for claims flagged for Recovery Auditor review; Shared System Enhancement 2015 Analysis and Design HUOPCUT hospice period and Health Maintenance Organization processing; and more!

February 9, 2016
Medicare Insider

This week’s updates include FY 2015 Report to Congress; expanding uses of Medicare data by qualified users; and more!

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