News & Analysis

November 1, 2016
Medicare Web

Please explain the separate procedure exception for inpatient-only procedures.

October 28, 2016
Medicare Web

What options for care/coverage does a patient have after receiving an Advance Beneficiary Notice?

October 25, 2016
Medicare Web

What are the requirements for compliantly using condition code 44 to change a patient’s status?

October 21, 2016
Medicare Web

Can hospitals report more than 48 hours of observation services?

October 19, 2016
Medicare Web

Q: The influenza virus vaccine represented by CPT® code 90674 (influenza virus vaccine, quadrivalent [ccIIV4], derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use) was approved under the Medicare program as of August 1. However, our claims are kicking back when we report the code. Has there been a change?

October 18, 2016
Medicare Web

Is it appropriate for a critical access hospital hospital to bill with Type of Bill (TOB) 013X versus TOB 085X, or are they only to bill with 085X?

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