News & Analysis

November 6, 2019
Medicare Web

Q: How are "autonomy" and "competence" defined in case management when describing patients?

November 5, 2019
Briefings on APCs

As of October 1, approximately 1,080 cases of respiratory illnesses and 18 deaths brought on by vaping have been reported in the U.S., according to the U.S. Centers for Disease Control and Prevention (CDC). Despite continued research into these cases by the CDC and the U.S. Food and Drug Administration (FDA), the specific cause of these illnesses remains unknown.

November 5, 2019
Medicare Insider

This week’s Medicare updates include the Outpatient Prospective Payment System final rule, the Medicare Physician Fee Schedule final rule, a proposed decision memo on genetic testing for cancer, and more!   

November 4, 2019
Medicare Web

CMS is moving forward with multiple policies—effectively based on reducing reimbursement to hospitals—that have been deemed unlawful in court, according to the 2020 OPPS final rule, released Friday, November 1. However, the agency pushed its controversial price transparency proposals to a separate, yet-to-be released final rule.

November 4, 2019
Medicare Web

Q: How should we handle denied claims when the payer refuses payment under the billed status? Do we need to document that the status was changed only because the payer did not agree to any other options?

November 1, 2019
Medicare Web

Q: How do we bill for items provided to a patient participating in a clinical trial that are not listed on the billing intention?

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