News & Analysis

March 3, 2021
Medicare Insider

This week’s Medicare updates include coding and payment information for the Johnson & Johnson COVID-19 vaccine, an OIG report on trends toward more expensive inpatient hospital stays, an MLN article on billing for services when Medicare is a secondary payer, and more!

March 3, 2021
News & Insights

CMS is reminding organizations of Medicare Secondary Payer (MSP) billing and appeal processes after the agency inappropriately denied some claims.

March 3, 2021
News & Insights

Q: As of May 1, UnitedHealthcare, the largest health insurance company in the United States, will be switching from using Milliman Care Guidelines (MCG) to InterQual. How will this affect organizations, and what can they do to smooth the transition?

March 1, 2021
Case Management Monthly

As of May 1, UnitedHealthcare, the largest health insurance company in the United States, will be switching from using Milliman Care Guidelines (MCG) to InterQual.

March 1, 2021
Briefings on HIPAA

In the weeks leading up to his departure from office, former President Donald Trump signed H.R. 7898 into law, amending the HITECH Act to require the Health and Human Services secretary to consider certain recognized security practices of covered entities (CE) and business associates (BA) when taking enforcement actions.

March 1, 2021
Briefings on APCs

CPT neurology codes describe advanced techniques to evaluate and treat conditions of the brain, spinal cord, and nerves. This article details CPT coding for three procedural services used to assess neurological symptoms: electroencephalogram, electromyography, and auditory-evoked potentials testing.

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