News & Analysis

April 7, 2017
Medicare Web

What role do case managers play in HINN 12 delivery?

April 4, 2017
Medicare Web

How often should a chargemaster coordinator perform reviews with hospital departments?

April 1, 2017
Briefings on APCs

Our experts answer questions about hitting MUEs on injections and infusions, setting multiple prices for the same CPT codes, payment rates for cancer centers, and more. 

March 31, 2017
Medicare Web

Do we give a MOON letter to a patient who was originally assigned to inpatient status, but then reassigned to observation services when the utilization review committee determined that he or she did not meet inpatient criteria. In this instance, condition code 44 was used and the patient’s status was changed to observation. If we are required to deliver the MOON form in this situation, should it be given to the patient at the same time as the patient is given information on condition code 44? 

March 29, 2017
Medicare Web

Q: We are seeing medically unlikely edits (MUE) on HCPCS J codes. How do we handle these? 

 

March 28, 2017
Medicare Web

Q: How are drugs and radiation paid for at a cancer center that became provider-based after November 2, 2015?

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