News & Analysis

September 1, 2021
Briefings on APCs

Outpatient coding for injections and infusions can be challenging given the foundational definitions and complex rules that drive reporting of these services. This article breaks down the facility drug administration hierarchy and CPT coding for therapeutic infusions, injections, and hydration.

September 1, 2021
Medicare Insider

This week’s Medicare updates include an announcement on expanded payments for at-home COVID-19 vaccinations, dates for implementation of the Prior Authorization Model for Repetitive, Scheduled Non-Emergent Ambulance Transports nationwide, an OIG review of phlebotomy travel allowances, and more!

September 1, 2021
Case Management Monthly

CMS has reinstated the short-stay reviews and high-weighted DRG reviews originally halted in 2019. The national contract to conduct these reviews was awarded to Livanta, one of the Beneficiary & Family-Centered Care and Quality Improvement Organizations.

September 1, 2021
Case Management Monthly

Nonprofit hospitals are falling short when it comes to completing community needs assessments required under the Patient Protection and Affordable Care Act, according to an August research letter published by JAMA Network Open.

September 1, 2021
Briefings on HIPAA

Chris Apgar, CISSP, answers submitted questions on a variety of HIPAA topics.

September 1, 2021
Briefings on APCs

Our coding experts answer questions about reporting the -X{EPSU} modifiers, modifier -51, and more.

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