News & Analysis

July 1, 2016
Briefings on APCs

Congressional legislation is often written in a way that obfuscates or, at the very least, makes it difficult to discern the impact or intent of a bill.

July 1, 2016
Briefings on APCs

Anatomical modifiers qualify a HCPCS/CPT® code by defining where on the body the service was provided. These modifiers are especially helpful to indicate services that would normally be considered bundled but were actually performed on different body sites.

June 27, 2016
Medicare Insider

The 2016 Revenue Integrity Symposium brings together training on Medicare billing and compliance, case management, revenue integrity, coding, CDI, and patient status, and more.

June 8, 2016
Medicare Insider

This week’s note is about billing for therapy services when they involve comprehensive APC services.

June 1, 2016
Briefings on APCs

As healthcare providers increasingly accept financial risk associated with patient management due to the transition from fee-for-service to risk-/value-based reimbursement, the traditional model of healthcare reimbursement has been flipped upside down.

June 1, 2016
Briefings on APCs

CMS' coding modifiers are not always used to report clinical components of a service. Sometimes they can be used in order to provide information about how a service relates to Medicare coverage policies.

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