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.

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!

February 3, 2016
Medicare Insider

This week’s note is about modifier –PO and the Bipartisan Budget Act Section 603.

February 1, 2016
Case Management Monthly

On November 16, 2015, CMS released a final rule that bundles acute-care payments for knee and hip replacement surgeries, the most common type of inpatient surgeries for Medicare beneficiaries, with some 400,000 performed in 2004.

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