News & Analysis

Providers continue to grapple with reporting modifier -25

July 1, 2015
Briefings on APCs

Lately I've received a lot of questions from hospitals about how to determine when and if it's appropriate to report an E/M visit code on the same date of service as a scheduled procedure.

Note from the Instructor: More on Medicare Preventive Services

June 30, 2015
Medicare Insider

This week’s note is about billing for preventative services and follow-up items. Click the link above for more information and an in-depth analysis. 

Note from the Instructor: Coverage of prescription drugs under Medicare Parts A, B, C, and D

June 23, 2015
Medicare Insider

This week’s note is about coverage of prescription drugs. Click the link above for more information and an in-depth analysis. 

Note from the Instructor: Billing for Preventive Services in a Rural Health Clinic

June 16, 2015
Medicare Insider

This week’s note is about rural health clinic billing. Click the link above for more information and an in-depth analysis. 

April I/OCE update continues to clarify comprehensive APC process

June 1, 2015
Briefings on APCs

The April quarterly I/OCE update from CMS did not defy convention featuring the typically small number of updates following extensive changes in the previous quarter but CMS did continue to clarify

This Month’s Coding Q&A

June 1, 2015
Briefings on APCs

Our experts answer questions about drug panels ordered in the ED, edits for pain management codes, and more.
 

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