News & Analysis

August 19, 2020
Medicare Web

Inpatient novel coronavirus (COVID-19) claims will require a positive viral test result to be eligible for the 20% increase in the MS-DRG weighting factor, effective for admissions on or after September 1.

August 17, 2020
Medicare Web

Q: What documentation elements are required to support a secondary diagnosis of malnutrition? Can the diagnosis be made based on lab results?

August 12, 2020
HIM Briefings

Staying on top of coding guidelines for infectious diseases has never been more critical—or challenging. Review these questions on ICD-10-CM/PCS documentation and coding for infectious diseases including COVID-19, HIV, and related procedures.

August 4, 2020
Medicare Web

Facing the unprecedented COVID-19 public health emergency, CMS released the 2021 OPPS proposed rule later than ever before, with the agency generally reinforcing its recent focus on site-neutral payment policies, lowering reimbursement for drugs purchased under the 340B program, and adding more services to the list of prior authorization. 

August 1, 2020
Briefings on APCs

In response to the novel coronavirus (COVID-19) public health emergency, CMS has expanded patient access to telehealth services, allowing beneficiaries to receive a wide range of services without having to visit a healthcare facility.

July 22, 2020
HIM Briefings

The Program for Evaluating Payment Patterns Electronic Report (PEPPER) is a rich source of data. Consider how to use the PEPPER to guide coding and CDI process improvements.