News & Analysis

December 13, 2023
Medicare Insider

This week’s Medicare updates include a revised FAQ on the JW and JZ modifiers, the 2024 NCCI Policy Manual, new CPT codes for RSV vaccine administration, and more!

December 13, 2023
Briefings on APCs

Part B physicians will have to prepare for a net 3.4% payment decrease across services in 2024, according to the 2024 Medicare Physician Fee Schedule final rule, which covers numerous operational areas for medical groups, including new coverage opportunities and billing revisions to coding and compliance updates.

December 13, 2023
HIM Briefings

A postpartum hemorrhage (PPH) is defined as blood loss of 500 ml or more postvaginal delivery, or greater than 1,000 mL estimated blood loss associated with cesarean delivery. Apply these tips to ensure accurate coding and documentation.

December 6, 2023
Briefings on APCs

The 2024 OPPS final rule details changes to price transparency compliance, reimbursement changes and, updates to numerous other hospital programs. Additionally, CMS is moving forward with its proposals to address unlawful payment reductions to 340B drug reimbursement.

November 29, 2023
Medicare Insider

This week’s Medicare updates include a repository for hospital price transparency resources, clarification on the monthly facility amount and provider reporting period for rural emergency hospitals, and more!

November 22, 2023
HIM Briefings

Acute kidney injury (AKI) is a sudden decrease in kidney function that can have serious consequences. Follow these tips to ensure accurate clinical validation and coding for AKI for effective patient care and appropriate reimbursement.

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