News & Analysis

Note from the instructor: Edit management for services involving the same department

November 30, 2017
Medicare Insider

This week's note from the instructor discusses ways to resolve Medicare billing edits. 

Note from the instructor: Update on CMS rules governing rural health clinics, part III

November 16, 2017
Medicare Insider

This week’s note is the third in a series of articles examining coding, billing, and payment rules for rural health clinics.

Note from the instructor: The wait is over as CMS publishes CY 2018 OPPS and MPFS final rules

November 9, 2017
Medicare Insider

This week's note reviews two major policy changes from the OPPS and MPFS final rules: the reduction in reimbursement for 340B drugs and the reduction in the payment adjustment for non-excepted off-campus provider-based departments. 

Note from the instructor: A method to approach target, probe and educate pre-payment audits

November 2, 2017
Medicare Insider

This week's note reviews pre-service coverage analysis processes in light of the recent CMS decision to delegate the target, probe, and educate medical review strategy to the Medicare Administrative Contractors. 

Note from the instructor: Update on CMS rules governing rural health clinics, part II

October 26, 2017
Medicare Insider

This week’s note is the second in a series of articles examining coding, billing, and payment rules for rural health clinics.

Note from the instructor: Required reporting for devices may expand in coming years

October 19, 2017
Medicare Insider

This week’s note reviews standards and methods for tracking functionality of implantable medical devices.

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