News & Analysis

May 1, 2019
Briefings on APCs

Reduced and discontinued service modifiers indicate to the payer when service is either less than the HCPCS code indicates (reduced) or the procedure was stopped before completion (discontinued).

May 1, 2019
Briefings on APCs

Our experts answer questions about CMS’ lab date of service policy, documentation details for CPT skin biopsy codes, and more.  

April 30, 2019
News & Insights

The ease of practitioners to transfer active professional licenses to others states is a longstanding issue across the industry, and this issue of licensure portability tests the patience and fortitude of case management professionals.

April 29, 2019
News & Insights

CMS’ fiscal year (FY) 2020 Inpatient Prospective Payment System (IPPS) proposed rule, released April 23, includes a proposed increase to hospital payment rates, annual ICD-10-CM/PCS code update proposals, and significant changes to complication or comorbidity (CC)/major complication or comorbidity (MCC) and Medicare-Severity Diagnosis-Related Group (MS-DRG) designations.

April 29, 2019
Briefings on HIPAA

In this month's security Q&A, our expert answers questions on the location of data backups, telehealth services using video conferencing, cloud service providers outside the U.S., and more!

April 26, 2019
News & Insights

On April 18, the Office of Civil Rights (OCR) added five new answers to their FAQ section on the relationship between HIPAA and health apps that use patient information.

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