News & Analysis

September 14, 2020
Medicare Web

Q: Per the 2021 Inpatient Prospective Payment System (IPPS) final rule, what MS-DRG charge information will be required to include on our cost report?

September 11, 2020
Case Management Monthly

Is the inpatient-only list soon to be a thing of the past? It’s possible. In the 2021 OPPS proposed rule, released August 3, CMS suggested that there is no longer a need for the inpatient-only list. Instead, CMS recommended deferring to the physician’s clinical judgment.

September 11, 2020
Medicare Web

Q: Can modifier -59 (distinct procedural service) be used to bypass the NCCI edit that bundles CPT codes 11055 for lesion removal and 11721 for nail debridement?

September 10, 2020
Medicare Web

Q: Many organizations have outsourced their PHI disposal for years. With coronavirus limiting the number of people coming in and out of medical facilities, what are your suggestions for organizations that now have to take care of PHI disposal themselves? What are the most important things to remember when handling this process?

September 10, 2020
Medicare Insider

This week's note from the instructor addresses policies in the IPPS final rule which take steps toward a more market-based reimbursement methodology.

September 9, 2020
Medicare Web

Q: While telemedicine is becoming ubiquitous, we must face the reality that not every patient is capable of effectively accessing or utilizing these tools. What are your suggestions for helping these patients?

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