News & Analysis

March 1, 2018
Briefings on APCs

One of the most memorable sessions at the AMA CPT Symposium in November 2017 involved an impromptu open mic feedback session facilitated by CMS’ Marge Watchorn, deputy director of the Division of Practitioner Services. The focus of this session was the applicability of the current CMS documentation guidelines for E/M services.

March 1, 2018
Briefings on APCs

Our experts answer questions about the –X{EPSU} modifiers, therapy cap changes for 2018, reporting multiple infusions, and more.  

March 1, 2018
Briefings on APCs

In the 2018 OPPS final rule, CMS finalized a change to the current clinical laboratory date of service policies for outpatient molecular pathology tests and advanced diagnostic laboratory tests.

February 28, 2018
News & Insights

How can a facility make a case for bringing on additional case managers and social workers?

February 28, 2018
Medicare Insider

This week’s Medicare updates include two compliance reviews from the Office of Inspector General, an enforcement instruction on supervision requirements for outpatient therapy, clarification of instructions for medical reviews of inpatient rehabilitation facility claims, and more! 

February 28, 2018
HIM Briefings

In advance of ICD-10-CM/PCS, many institutions implemented computer-assisted coding (CAC) hoping to mitigate the anticipated productivity losses, but research has confirmed suspicions that there is an inverse relationship between coding productivity and accuracy.

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