News & Analysis

January 3, 2024
Briefings on APCs

A scan of healthcare news sources or the Office of Inspector General work plan often finds psychiatry and mental health practices under scrutiny. Laurie Bouzarelos, MHA, CPC, reviews revenue cycle functions, provider contracting/credentialing, and coding and documentation tips to avoid denials.

December 20, 2023
Briefings on APCs

The National Correct Coding Initiative released the 2024 NCCI Policy Manual in early December, which will be effective January 1. This article covers the changes—both big and small.

December 20, 2023
Medicare Insider

This week’s Medicare updates include revised guidance for the Medicare Prescription Drug Inflation Rebate Program, information on global surgery package requirements, and more!

December 13, 2023
Briefings on APCs

Part B physicians will have to prepare for a net 3.4% payment decrease across services in 2024, according to the 2024 Medicare Physician Fee Schedule final rule, which covers numerous operational areas for medical groups, including new coverage opportunities and billing revisions to coding and compliance updates.

December 13, 2023
Medicare Insider

This week’s Medicare updates include a revised FAQ on the JW and JZ modifiers, the 2024 NCCI Policy Manual, new CPT codes for RSV vaccine administration, and more!

December 6, 2023
Briefings on APCs

The 2024 OPPS final rule details changes to price transparency compliance, reimbursement changes and, updates to numerous other hospital programs. Additionally, CMS is moving forward with its proposals to address unlawful payment reductions to 340B drug reimbursement.

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