News & Analysis

October 19, 2022
Case Management Monthly

Many case managers use remote patient monitoring (RPM) to ease the pinch of staffing shortages and help to prevent readmissions. But some are warning that the accessibility of those services may be threatened by one of numerous changes in the 2023 Medicare Physician Fee Schedule proposed rule—a proposed 12% reimbursement reduction for RPM CPT® code 99454.

October 19, 2022
Medicare Insider

This week’s Medicare updates include a notice about how CMS is planning to handle payments for 340B drugs for the rest of the year, an update to the ambulance inflation factor for 2023, the notice of the new interest rate for Medicare overpayments and underpayments, and more!

October 19, 2022
Briefings on APCs

Many healthcare systems are looking at how to expand their CDI program to include outpatient and ambulatory settings. Jennifer Boles, BS, COC, CRC, CCDS-O, explores her ambulatory CDI program’s success and offers advice for those looking to expand.

October 12, 2022
Briefings on APCs

The Office of Inspector General (OIG) recently released a data brief on billing risks associated with Medicare telehealth services during first year of the COVID-19 pandemic.

October 12, 2022
HIM Briefings

Debridement is the medical removal of dead, damaged, or infected tissue from a wound to improve healing. Review the different types of debridement and the associated documentation and coding requirements.

October 12, 2022
Briefings on HIPAA

Starting on October 6, the definition of electronic health information (EHI) will include “the entire scope of the EHI definition [i.e., ePHI that is or would be in a Designated Record Set (DRS)].”

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