This week’s Medicare updates include the Inpatient Prospective Payment System proposed rule, the announcement of a set of voluntary payment models focusing on primary care, the quarterly update for the End-Stage Renal Disease Prospective Payment System, and more!
The Office of Inspector General is stepping up audits of inpatient rehabilitation facility (IRF) claims. Use these expert tips to ensure your facility is coding and billing correctly for these services.
The most commonly reported CPT codes are getting a much-needed makeover. Shannon McCall, RHIA, CCS, CCS-P, CPC, CEMC, CRC, CCDS, writes about E/M code changes implemented this year and changes for implementation over the next two years.
Reduced and discontinued service modifiers indicate to the payer when service is either less than the HCPCS code indicates (reduced) or the procedure was stopped before completion (discontinued).
The ease of practitioners to transfer active professional licenses to others states is a longstanding issue across the industry, and this issue of licensure portability tests the patience and fortitude of case management professionals.
