News & Analysis

December 1, 2012
Briefings on APCs

Coding for observation services can be confusing and complicated. Review these three case studies to determine how well you know observation coding.

December 1, 2012
Briefings on APCs

Misusing modifier -25 (significant, separately ­identifiable E/M service by the same physician on the same day of the procedure or other service) can be an expensive proposition. Just ask Georgia Cancer ­Specialists I, a ­leading oncology practice in Atlanta.

November 1, 2012
Briefings on APCs

Our coding experts answer your questions about how to determine the correct units for drugs, billing for fluoroscopy, therapy caps under OPPS, and payment for critical care and separately reported services

 

November 1, 2012
Briefings on APCs

CMS made two manual corrections as part of the OPPS update for October 2012 and included a number of small changes to both OPPS and the I/OCE.

November 1, 2012
Briefings on APCs

A Medicare patient is scheduled for outpatient surgery.

October 1, 2012
Briefings on APCs

Our coding experts answer your questions about coding for hysteroscopy prior to ablation, appending modifier -59 for MRI and MRA, charging for venipunctures, therapy caps under OPPS, reporting limits for Provenge®, modifier -59 and infusion therapy, Reporting TEE pre- and post-operativley, coding for toxic metabolic encephalopathy

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