News & Analysis

April 21, 2021
News & Insights

CMS is reminding providers to ensure that Medicare claims for telehealth are correctly billed. The agency issued broadly expanded telehealth services as part of its response to the COVID-19 public health emergency.

April 21, 2021
Medicare Insider

This week’s Medicare updates include new instructions for COVID-19 monoclonal antibody infusions, an updated list of telehealth services payable under the Physician Fee Schedule, six new items added to the OIG work plan, and more! 

April 19, 2021
News & Insights

Q: We're looking for ways to bring our CDI and coding teams together to improve documenation and coding for appropriate Hierarchical Condition Categories (HCC) capture. Are there any recommended models and should other departments or individuals be working alongside them?

April 14, 2021
Medicare Insider

This week’s Medicare updates include proposed rules for the inpatient psychiatric facility prospective payment system, skilled nursing facility prospective payment system, and the hospice payment rate update.

April 14, 2021
News & Insights

CMS should rescind denials recently issued to certain off-campus provider-based departments (PBD) that applied for the mid-build exception under the 21st Century Cures Act, the AHA said in a March 25 letter to CMS.

April 12, 2021
News & Insights

Q: How does CMS calculate payments to rural health clinics (RHC) subject to the all-inclusive rate (AIR)?

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