News & Analysis

February 23, 2016
Medicare Insider

This week’s updates include Critical Access Hospital (CAH) Recertification Checklist for evaluation of compliance with the location and distance requirements; core quality measures collaborative release; and more!

February 16, 2016
Medicare Insider

This week’s updates include identifying "No Documentation" medical necessity denials for claims flagged for Recovery Auditor review; Shared System Enhancement 2015 Analysis and Design HUOPCUT hospice period and Health Maintenance Organization processing; and more!

February 9, 2016
Medicare Insider

This week’s updates include FY 2015 Report to Congress; expanding uses of Medicare data by qualified users; and more!

February 2, 2016
Medicare Insider

This week’s updates include OIG Advisory Opinion No. 16-01; required billing updates for rural health clinics; and more!

February 1, 2016
Briefings on APCs

Per CPT1, modifier -52 is used when a service or procedure is partially reduced or eliminated at the provider's discretion. Such a situation is identified by using the service's usual HCPCS/CPT code and adding modifier -52, signifying that the service is reduced.

January 27, 2016
Medicare Insider

This week’s updates include a technology assessment regarding treatment of degenerative joint disease with hyaluronic acid; a final notice of modification and termination of OIG Advisory Opinion 08-17; and more!

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