News & Analysis

July 1, 2017
Briefings on APCs

Whether it is the CPT Manual or Chapter 12 of the Medicare Claims Processing Manual, the definition of a “new patient” is the same for physicians and nonphysician practitioners billing. But that doesn't mean coding and billing for E/M services is clear cut. 

June 29, 2017
Medicare Insider

This week's note offers guidance on CPT E/M codes for new versus established patients and addresses OIG reports on E/M codes audits.

June 14, 2017
Medicare Web

Q: In what instances are immediate care facilities appropriate?

May 24, 2017
Medicare Insider

This week's note discusses the order and certification requirement for critical access hospitals (CAH), including the proposal in the FY 2018 IPPS proposed rule to reprioritize the review of CAH inpatient admissions.

May 2, 2017
Medicare Insider

This week's note discusses rural health clinic off-site services that are provided to swing bed patients.

January 23, 2017
Medicare Insider

This week's note from the instructor discusses new guidance released by CMS regarding the Medicare Outpatient Observation Notice (MOON) form for hospitals and critical access hospitals.

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