News & Analysis

CMS finalizes additional payment for new COVID-19 treatments

November 4, 2020
News & Insights

CMS’ Fourth COVID-19 Interim Final Rule with Comment Period includes additional payment for new COVID-19 treatments, price transparency requirements for COVID-19 diagnostic tests, and coverage for potential vaccines among other provisions.

Q&A: Interpreting case-mix index

November 2, 2020
News & Insights

Q: How does case-mix index (CMI) impact hospital finances? What should revenue integrity staff look for when conducting CMI analyses?

CMS updates COVID-19 policies and guidance on testing, vaccination, and telehealth

November 1, 2020
Briefings on APCs

Valerie A. Rinkle, MPA, CHRI, writes about Medicare guidance on and updated payment policies for COVID-19 testing, vaccines, and telehealth services.

Clear up confusion surrounding ICD-10-CM and CPT coding for strabismus

November 1, 2020
Briefings on APCs

Debbie Jones, CPC, CCA, details ICD-10-CM coding for strabismus and CPT coding for surgical treatments used to correct eye misalignment.

Tackle CPT coding challenges and ICD-10-CM updates for behavioral health

November 1, 2020
Briefings on APCs

Review 2021 ICD-10-CM codes for behavioral health diagnoses and a breakdown of CPT guidelines for psychiatric diagnostic evaluations.

This week in Medicare updates—10/28/2020

October 28, 2020
Medicare Insider

This week’s Medicare updates include the latest edition of the Medicare Quarterly Provider Compliance Newsletter, two new proposed decision memos on coverage for blood-based biomarker tests and a molecular expression test, updated information in the COVID-19 billing FAQs, and more!

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