News & Analysis

June 1, 2022
Briefings on APCs

Modifier -JW is used to describe drug amounts that are discarded and not administered to any patient. Refresh your knowledge of this modifier with coding tips and example scenarios.

June 1, 2022
Briefings on APCs

Coding managers should not assume that they can review every coding guideline, Coding Clinic, or coding-related issue targeted by the Office of Inspector General. Review considerations for conducting focused internal and external audits.

May 25, 2022
Medicare Insider

This week’s Medicare updates include new items added to the OIG Work Plan, an announcement about a redesign of the Medicare.gov website, a revised transmittal regarding changes to certain NCDs, and more!

May 18, 2022
Medicare Insider

This week’s Medicare updates include a proposed decision memo modifying an NCD on home use of oxygen, an OIG report on adverse events in hospitals, the quarterly update to the Medicare Physician Fee Schedule database, and more!

May 11, 2022
Medicare Insider

This week’s Medicare updates include the quarterly update to the clinical laboratory fee schedule, the quarterly update to the ESRD PPS, changes to the manual regarding pneumococcal vaccines, and more!

May 4, 2022
HIM Briefings

Among the proposed changes, many of which affect quality and data reporting programs, are proposed changes to claims data used for rate setting, a delay of the three way split criteria for Medicare Severity Diagnosis-Related Groups (MS-DRG), and more. Understand major proposals and their potential impact and how to provide feedback to CMS.

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