News & Analysis

February 21, 2017
Medicare Insider

This week's note is an excerpt from The Denials Management Training Handbook and discusses different types of claim denials.

February 9, 2017
Briefings on APCs

With a new year underway, providers likely need to get a handle on some key new modifiers, as well as important changes to an existing modifier and the deletion of a modifier that previously raised a lot of questions and operational concerns. 

February 1, 2017
Medicare Insider

This week's note from the instructor discusses changes to the Medicare Appeals Process as set forth in the final rule published January 17, 2017.

January 23, 2017
Medicare Insider

This week’s Medicare updates include additional guidance on the MOON form, an NCA for leadless pacemakers, delayed implementation of the (ESRD) Interim Final Rule – Third Party Payment, and more!

January 1, 2017
Briefings on APCs

Managers should not assume that they can review every guideline, every item in Coding Clinic, or every coding-related issue targeted by the Office of Inspector General or Recovery Auditor. 

December 1, 2016
Briefings on APCs

As it does each year, CMS reviewed its packaging policies and proposed numerous modifications for 2017, finalizing a move to conditionally package at the claim level and deleting the controversial modifier used to identify separately reportable laboratory tests. 

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