News & Analysis

March 11, 2020
Medicare Insider

This week’s Medicare updates include a variety of new information on coronavirus coding and billing, the quarterly update to the OPPS, and the quarterly update to the clinical laboratory fee schedule.

March 4, 2020
Medicare Insider

This week’s Medicare updates include an article on elements necessary to include on orders or prescriptions for certain DMEPOS items, an NCA on colorectal cancer blood-based biomarker tests, a change to the Medicare Physician Fee Schedule database update file, and more!

March 1, 2020
Briefings on APCs

Like other services covered by Medicare, observation must be reasonable and necessary or, in other words, medically necessary. The physician must document that they assessed patient risk to determine that the patient would benefit from observation services.

February 26, 2020
Medicare Insider

This week’s Medicare updates include four new items added to the OIG work plan, a new version of the integrated denial notice form, a transmittal implementing numerous regulatory revisions to the State Operations Manual, and more!

February 19, 2020
Medicare Insider

This week’s Medicare updates include an article on billing and payment provisions for therapy services under PDGM, an update to the list of DMEPOS items that require prior authorization, a new code to use for coronavirus lab tests, and more! 

February 19, 2020
HIM Briefings

The nuances of documenting and billing for observation services can trip up even the savviest organization. Get a refresher on the basics to ensure your organization avoids common pitfalls.

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