News & Analysis

June 1, 2019
Briefings on APCs

The NCCI manual can be a powerful tool for revenue cycle staff to understand the intricacies of CMS modifier rules and Medicare edits.

June 1, 2019
Briefings on APCs

If you only bill using the CMS-1500 claim form, then you’ve probably never seen a revenue code. But if you need to bill for facilities, you know revenue codes play an important communicative role between providers and insurers. UB-04 claim forms sent to an insurance company without a revenue code associated with each charge will be rejected.

June 1, 2019
Briefings on APCs

Our experts answer questions about cerumen removal coding, add-on code edits, and more.

May 31, 2019
News & Insights

The HHS Office for Civil Rights (OCR) issued a new fact sheet last week that clarifies the circumstances under which OCR may hold business associates (BA) directly liable.

May 31, 2019
Case Management Monthly

A case manager has difficulty placing a homeless patient who was admitted for life-threatening hypothermia after spending a bitterly cold night outside. 

May 31, 2019
News & Insights

Q: A patient presents to the ED seeking treatment for impacted cerumen affecting both ear canals. How would you report a bilateral cerumen removal using CPT codes?

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