News & Analysis

January 1, 2015
Briefings on APCs

In a concerted effort to move healthcare payments to a system of "quality over quantity," CMS finalized policies that greatly expanded packaging for outpatient providers in the 2015 OPPS final rule. It also introduced complexity adjustments with comprehensive APCs (C-APCs).

January 1, 2015
Strategies for Healthcare Compliance

Many coders rely on the advice in the American Hospital Association (AHA)'s Coding Clinic to resolve sticky situations with ICD-9-CM coding. However, the AHA will not be transitioning its current guidance to ICD-10-CM. Instead, in January, it began focusing solely on ICD-10-CM questions to help clear up confusion prior to implementation.

December 30, 2014
Medicare Insider

This week’s updates include the January 2015 updates to the Integrated Outpatient Code Editor and OPPS. Click the link above to read more about this week’s updates.

December 23, 2014
Medicare Insider

This week’s updates include changes to and billing instructions for various payment policies implemented in the January 2015 OPPS update and new waived tests. Click the link above to read more about this week’s updates.

December 23, 2014
Medicare Insider

This week’s note is about payment for prescription drugs. Click the link above for more information and an in-depth analysis.  

December 16, 2014
Medicare Insider

This week’s updates include a proposed rule regarding Accountable Care Organizations and information about outpatient therapy supervision levels. Click the link above to read more about this week’s updates.

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