News & Analysis

October 16, 2017
Medicare Web

What methods should my facility consider when building a denials database?

October 13, 2017
Medicare Web

Q: We are using a biosimilar for infliximab but it is manufactured by Merck/Samsung rather than Pfizer/Hospira. CMS requires that a manufacturer specific modifier be appended to the HCPCS code. Is there a new one for Merck/Samsung?

October 10, 2017
Medicare Web

Q:  What is a hospital-acquired condition (HAC), and to whom does the HAC payment provision apply?

October 9, 2017
Medicare Web

How can we work to identify and correct causes of denials?

October 6, 2017
Medicare Web

Q: For a ureteroscopy intended as a procedure with a biopsy and double-J stent, if the procedure ends when only the scope was placed before a biopsy was taken, could you just code ureteroscopy instead of coding it with the biopsy and the modifier -74?

October 5, 2017
Medicare Web

Q: A clinic employee is being seen as a patient of the clinic for additional vaccinations. The medical assistant rooming the patient wants to review the vaccination history. Is this a HIPAA violation?

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