Selecting a level of medical decision-making (MDM) is confusing and complicated. In this article, Terry Tropin, MSHAI, RHIA, CCS-P, defines key MDM terms and describes a simplified system for selecting a level of MDM.
Recent data shows that all improper payments for bacterial culture lab tests can be traced back to insufficient documentation. Review CMS' provider compliance tip to prevent denials.
This week’s Medicare updates include the 2026 MA and Part D final rule, an updated list of tests subject to exceptions from laboratory date of service policy, and more!
This week’s Medicare updates include the April 2025 OPPS Addendum A and B files, revisions to the modifier -JW and -JZ policy HCPCS code list, and more!