News & Analysis

February 1, 2019
Case Management Monthly

On January 8, CMS released MLN Matters SE19002 on status determinations for total knee arthroplasty, which included guidance on how to determine proper status for patients undergoing the procedure, but CMS quickly rescinded it and announced that it is making revisions and will reissue it in the near future.

February 1, 2019
Briefings on APCs

In 2018, most organizations held the line on coder productivity, according to the results of sister publication HIM Briefings’ 2018 coding productivity survey.

February 1, 2019
Briefings on APCs

Our experts answer questions about reviewing claims edit data, reporting modifier -XE, and more.

February 1, 2019
Briefings on APCs

Modifier -JW is used to describe drug amounts that are discarded and not administered to any patient. This does not reduce the payment for the drugs, so this is an informational modifier, but it is a mandatory modifier.

January 31, 2019
News & Insights

Q: Is it a HIPAA violation if a provider refuses to allow patients to see their record?

January 31, 2019
Medicare Insider

This week's note from the instructor discusses recent guidance from CMS on how to handle the removal of TKAs from the inpatient-only list and the 2 midnight rule. 

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