News & Analysis

December 6, 2017
News & Insights

How can we define the role of the nonlicensed case manager extender within our interdisciplinary team?

December 4, 2017
Briefings on HIPAA

Changes to the Office for Civil Rights' HIPAA Audit Program and enforcement focus highlight compliance areas organizations should review.

December 4, 2017
News & Insights

Effective January 1, 2018, Medicare payments for X-rays taken using computed radiography will be reduced by 7%, according to a policy CMS finalized in the 2018 OPPS final rule. This reduction will remain effective until 2022, and increase to 10% beginning in 2023, as required by paragraph 1848 (b)(9) of the Social Security Act. 

December 4, 2017
News & Insights

We found out after an observation patient was discharged that one of the procedures performed was an inpatient-only procedure. Can we bill this to Medicare without an official inpatient order on the medical record?

December 1, 2017
Briefings on APCs

CMS is moving forward with its plan to drastically cut payments for drugs acquired through the 340B drug discount program, according to the 2018 OPPS final rule, released in November. 

December 1, 2017
Briefings on APCs

Our experts answer questions about reporting –X {EPSU} modifiers, retaining written queries, billing inpatient-only procedures, and more. 

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