News & Analysis

To be or not to be: Billing labs with CMS' new modifier

October 1, 2014
Briefings on APCs

Editor's note: Andrea Clark-Rubinowitz, RHIA, CCS, CPCH, has more than 30 years of experience working with healthcare professionals, information systems, hospital coding, and operational and compliance training. She founded and led Healthcare Revenue Assurance Associates from 2001 to 2014. Contact her at 954-465-0968 or aclark5678@gmail.com.

Note from the instructor: Medicare clarifies key components of claims processing for clinical diagnostic laboratory services

September 30, 2014
Medicare Insider

This week’s note is about claims processing of laboratory services. Click the link above for more information and an in-depth analysis.

Note from the instructor: CMS Introduces Review and Denial of Related Claims

September 9, 2014
Medicare Insider

This week’s note is about related claims. Click the link above for more information and an in-depth analysis.

Note from the instructor: New Codes to Replace Modifier 59-New Medically Unlikely Edits (MUE) Guidance

September 2, 2014
Medicare Insider

This week’s note is about modifier 59 replacement codes. Click the link above for more information and an in-depth analysis.

This month's coding Q&A

September 1, 2014
Briefings on APCs

Our experts answer questions about dual coding and CMS' schedule for updating payment rates.

CMS reintroduces Comprehensive APCs along with complexity adjustments

September 1, 2014
Briefings on APCs

CMS refined and updated its Comprehensive APC policy in the 2015 OPPS proposed rule released July 3, adding a new complexity adjustment factor. CMS also proposes significantly expanding the packaging of ancillary services. Additionally, the proposed rule includes a significant change to requirements related to inpatient physician certification.

Pages