News & Analysis

February 1, 2015
Briefings on APCs

Our experts answer questions about coding diabetes in ICD-10-CM, hypothermia coding for neonates, and more.

February 1, 2015
Briefings on APCs

In December 2014, CMS posted a document on its Advisory Panel on Hospital Outpatient Payment (HOP Panel) website outlining the hospital outpatient therapeutic services that were recently evaluated for a change in supervision levels. The three-page document contains a chart that includes the HCPCS code, the level of supervision required for coverage, and the effective dates of the changes for various services.

January 26, 2015
Medicare Insider

This week’s note is about Modifier -59 and –X {EPSU} modifiers. Click the link above for more information and an in-depth analysis.

January 13, 2015
Medicare Insider

This week’s note is about Medicare bad debt reimbursement. Click the link above for more information and an in-depth analysis.

January 1, 2015
Briefings on APCs

In a concerted effort to move healthcare payments to a system of "quality over quantity," CMS finalized policies that greatly expanded packaging for outpatient providers in the 2015 OPPS final rule. It also introduced complexity adjustments with comprehensive APCs (C-APCs).

January 1, 2015
Briefings on APCs

Our experts answer questions about outpatient queries and documentation for HCCs.

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