News & Analysis

December 17, 2015
Medicare Insider

This week’s note from the instructor is written by Debbie Mackaman, RHIA, CPCO, CCDS, regulatory specialist for HCPro and is about changes in using the modifier –CT.

December 10, 2015
Medicare Insider

This week’s note is about changes in the Recovery Auditor program.

November 25, 2015
Medicare Insider

This week’s note is regarding the packaging of laboratory tests. This week’s note from the instructor is written by Valerie A. Rinkle, MPA, regulatory specialist for HCPro. Ms. Rinkle is new to the HCPro team, and a nationally recognized Medicare expert. For more information about this exciting addition to the HCPro team, click here.

November 12, 2015
Medicare Insider

This week’s note is on billing changes for off-campus hospital departments.

November 5, 2015
Medicare Insider

In a surprising announcement on Friday, October 30, the Office of Inspector General (OIG) may have delivered some good news to hospitals who are diligently following prior CMS guidance on billing patients for SADs provided in the outpatient setting.

October 29, 2015
Medicare Insider

Most short-term acute-care inpatient hospital stays covered under Medicare Part A are payable under the IPPS, based upon the MS-DRG to which that case is assigned. Each FY, CMS publishes a final rule setting out the IPPS changes for that FY. The IPPS changes for FY 2016 can be found in more detail in the source authorities cited at the end of this note. 

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