News & Analysis

January 9, 2020
Medicare Insider

This week's note from the instructor reviews the prior authorization process that will be implemented for five categories of services in 2020. 

January 8, 2020
HIM Briefings

Coding productivity held steady for 2019 but the impact of misalignment between coding and CDI and unanswered physician queries suggest there's room for improvement. HIM Briefings' 2019 coding productivity survey dug into productivity benchmarks, coding accuracy benchmarks, and the impact of workflows and department structure.

January 8, 2020
Medicare Web

Q: Our facility sees a lot of patients dealing with diabetes and diabetic complications. Do you have any advice for helping these patients during their stay or after discharge?

January 8, 2020
Medicare Insider

This week’s Medicare updates include transmittals on new provider specialty codes for opioid treatment programs, the implementation transmittal for the Ambulatory Surgical Center Payment System, correction notices for the 2020 Medicare Physician Fee Schedule final rule and Outpatient Prospective Payment System final rule, and more! 

January 8, 2020
Medicare Web

The Transparency in Coverage Proposed Rule comment period has been extended from January 14 to January 29, CMS announced. The proposed rule would require insurers to provide personalized price estimates and publish negotiated in-network rates and historical payment information.

January 6, 2020
Medicare Web

Q: How do we report total observation time when during the encounter the patient also received bundled services that include observation?

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