News & Analysis

June 15, 2020
Medicare Web

Q: What services will require prior authorization from Medicare starting July 1 and how do we submit prior authorizations to Medicare?

June 12, 2020
Case Management Monthly

COVID-19 Medicare billing rules continue to evolve, so it can be challenging to stay abreast of the developments. Some recent changes have given case managers and hospitals more flexibility when it comes to treating both COVID-19 and non-COVID patients, as medical practices increasingly look to resume providing elective surgeries and other procedures.

June 10, 2020
HIM Briefings

HIM professionals have developed innovative solutions to the COVID-19 pandemic. Figuring out what works and what doesn’t will be key over the coming months. Learn how to manage the constant change and monitor for potential problem areas.

June 10, 2020
Medicare Web

CMS updated its Medicare billing FAQs to include new questions related to National Coverage Determinations (NCD) during the novel coronavirus (COVID-19) public health emergency (PHE).

June 10, 2020
Medicare Insider

This week’s Medicare updates include revisions to billing guidance for using the CR modifier and DR condition code, a table listing changes to CMS Innovation Center models, the July 2020 update to the OPPS, and more!

June 3, 2020
Medicare Web

CMS released new guidance and clarification on the use of modifier -CR (catastrophe/disaster related) and condition code DR (disaster related) on June 1.

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