News & Analysis

February 5, 2020
HIM Briefings

CMS put hospitals on track to face expanded price transparency requirements with a final rule released in November 2019. Take a closer look at how price transparency is set to change and what hospitals need to do.

February 1, 2020
Briefings on APCs

The Medicine section of the CPT Manual includes codes for a variety of services including acupuncture, vaccinations, and behavioral health assessments and is divided into 33 subsections that can make it challenging to navigate.

January 29, 2020
Medicare Insider

This week’s Medicare updates include a Q&A on changes to new technology add-on payments pertaining to antibiotics, a decision memo on coverage for acupuncture as a treatment for chronic low back pain, implementation details for a new ICD-10-CM code for vaping-related disorder, and more! 

January 29, 2020
Medicare Web

CMS is expanding Medicare coverage of next-generation sequencing (NGS) to diagnose certain types of ovarian and breast cancer, according to a January 27 decision memo.

January 27, 2020
Medicare Web

Q: How do we bill for services when our utilization review (UR) team determines postdischarge that an inpatient admission was not medically necessary? Are these services billed as outpatient or inpatient?

January 22, 2020
Medicare Insider

This week’s Medicare updates include a new addition to the OIG work plan, the January edition of the Medicare Quarterly Compliance Newsletter, the January 2020 update to the Outpatient Prospective Payment System, and more!

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