News & Analysis

September 1, 2021
Briefings on APCs

Outpatient coding for injections and infusions can be challenging given the foundational definitions and complex rules that drive reporting of these services. This article breaks down the facility drug administration hierarchy and CPT coding for therapeutic infusions, injections, and hydration.

September 1, 2021
Medicare Insider

This week’s Medicare updates include an announcement on expanded payments for at-home COVID-19 vaccinations, dates for implementation of the Prior Authorization Model for Repetitive, Scheduled Non-Emergent Ambulance Transports nationwide, an OIG review of phlebotomy travel allowances, and more!

September 1, 2021
Case Management Monthly

CMS has reinstated the short-stay reviews and high-weighted DRG reviews originally halted in 2019. The national contract to conduct these reviews was awarded to Livanta, one of the Beneficiary & Family-Centered Care and Quality Improvement Organizations.

August 27, 2021
Medicare Insider

This week's note from the instructor delves into how recent OIG hospital audits can be used as guides for self-monitoring via internal audits and quality reviews. 

August 25, 2021
HIM Briefings

Inadequate documentation is a common pain point for coding and CDI efforts. Learn how one organization created a documentation education resource for their physicians.

August 25, 2021
Medicare Insider

This week’s Medicare updates include billing and coding updates for COVID-19 booster shots, new items on the OIG Work Plan, a proposed decision memo on an NCD for Transvenous (Catheter) Pulmonary Embolectomy, and more! 

Pages