News & Analysis

October 6, 2021
Medicare Insider

This week’s Medicare updates include a final decision memo on an NCD for home use of oxygen to treat cluster headaches, a notice about CMS exercising enforcement discretion for certain SNF consolidated billing provisions, an interim final rule on new policies against surprise billing, and more! 

October 1, 2021
Case Management Monthly

In December 2020, CMS announced that it would begin a Review Choice Demonstration (RCD) for inpatient rehabilitation facility (IRF) services. The goal: to improve detection and identification of Medicare fraud related to these services.

October 1, 2021
Briefings on APCs

ICD-10-CM coding for neuropathies can be challenging given the complexity of these diagnoses and associated complications. Demystify documentation requirements and ICD-10-CM coding for ischemic and hemorrhagic strokes, migraine headaches, and paralysis.

October 1, 2021
Briefings on APCs

Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC, breaks down CPT coding for diagnostic services performed during the second and third trimesters, and provides an overview of an obstetric (OB) hospitalist's role in caring for high-risk maternity patients.

October 1, 2021
Briefings on APCs

Several CPT modifiers have similar definitions, which can make distinguishing between them challenging. Review guidance for the appropriate application of modifier -51 versus -59 and discontinued service modifiers -52, -53, -73, and -74.

September 29, 2021
Medicare Insider

This week’s Medicare updates include revisions to guidance on interstate licensing compacts, an OIG review of Medicare Advantage risk adjusted payments, the quarterly update to the ESRD PPS, and more!

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