News & Analysis

September 30, 2020
Medicare Web

Organizations that received Provider Relief Fund payments of more than $10,000 will be required to report information on how PRF payments were used as well as  expenses related to the novel coronavirus that were not reimbursed (COVID-19), according to new HHS guidance.

September 30, 2020
Medicare Insider

This week’s Medicare updates include revisions to the OPPS quarterly update implementation transmittal, slides on Medicare payment for COVID-19 viral testing at skilled nursing facilities, 2021 benefit and cost-sharing information for Medicare Advantage and Part D plans, and more! 

September 30, 2020
HIM Briefings

Drafting an effective appeal in response to payer audits and overpayment demands goes beyond just coding and billing; it also often requires a deeper analysis and technical response. Discover methods to improve your appeals strategy with an eye on facts and compliance.

September 28, 2020
Medicare Web

Q: What changes to inpatient dialysis MS-DRGs did CMS finalize in the 2021 Inpatient Prospective Payment System final rule?

September 25, 2020
Medicare Web

Q: When would it be appropriate to report modifier -58 for a procedure performed during the postoperative period?

September 25, 2020
Case Management Monthly

Rose has worked as a cardiology case manager at a hospital in the Southwest for the past 17 years. She enjoys her job and her patients. A significant portion of her patient population is comprised of a community of veterans. She knows that it is common for veterans to live near one other, as their shared war experiences provide a source of understanding and support not often available from civilians.

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