This week’s Medicare updates include the 2021 End Stage Renal Disease Prospective Payment System proposed rule, updates on assorted demonstration models that were paused during the COVID-19 public health emergency, reprocessing instructions for certain IPPS claims, and more!
Q: We're reviewing the focus and structure of our revenue cycle compliance committee. Are there any recommendations for who should be a committee member, meeting cadence, and projects?
This week’s Medicare updates include the release of the 2021 ICD-10-CM code set files, a proposed decision memo regarding expanded coverage of a transcatheter mitral valve repair procedure, revisions to the July 2020 OPPS update, and more!
Q: Some of our physicians who ordinarily provide services in our provider-based department (PBD) are now providing services to patients in our relocated PBDs, including patients' home. Are we allowed to bill an originating site fee in these circumstances?
Physicians and facilities use the same codes to report E/M levels for ED services, but follow different rules. Outpatient coders must be able to assign E/M codes for both physicians’ work and resources utilized by the facility during emergency visits.
