News & Analysis

March 1, 2019
Briefings on APCs

In the 2018 OPPS final rule, CMS removed total knee arthroplasty (TKA) from the inpatient-only (IPO) list effective January 1, 2018. Although some guidance was provided at the time, providers and physicians alike were left confused with a significant number of questions regarding documentation and inpatient status

March 1, 2019
Briefings on APCs

Coding for knee arthroscopies can be challenging, especially when procedures are performed in multiple compartments of the same knee. Read about anatomy and coding details required to accurately report these procedures.

March 1, 2019
Briefings on APCs

Our experts answer questions about reporting E/M services along with drug administration, dealing with pre-payment denials, and more.  

February 28, 2019
Medicare Insider

This week's note from the instructor explores the new codes for the post discharge home visit waiver included in the April 2019 update of the Medicare Physician Fee Schedule. 

February 28, 2019
News & Insights

Q: At the doctor's office where I work, patients are often friends or family members of staff. I heard in passing that my co-worker's boyfriend was coming in for an appointment later that day, when I mentioned it to the co-worker, she said she would be filing a complaint for a HIPAA violation. Is this really a HIPAA violation? 

February 28, 2019
Case Management Monthly

A case manager returns to work at the start of the new year only to find that two of his patients’ commercial insurances had implemented new discharge planning and utilization review rules effective January 1.

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