News & Analysis

May 1, 2015
Briefings on APCs

When CMS introduced the -X{EPSU} modifiers in August 2014 to be used in specific instances to replace modifier -59 (distinct procedural service), the agency encouraged "rapid migration" to the new modifiers.

May 1, 2015
Strategies for Healthcare Compliance

Q: I work in long-term care, and I am familiar with the language in HIPAA regulations regarding requests for electronic copies of medical records for a reasonable fee according to community standards. However, my company does not maintain its medical records in electronic form, nor do we presently have the capability of converting our paper records into electronic format.

May 1, 2015
Briefings on APCs

Our experts answer questions about IV pushes, ICD-10-CM smoking details, and more.

May 1, 2015
Briefings on APCs

CMS released updated I/OCE specifications in January with several changes that could require providers to examine claims submitted early in 2015 that include comprehensive APCs (C-APC) to ensure proper payment.

April 28, 2015
Medicare Insider

This week’s updates include the proposed rules for SNF PPS and inpatient rehabilitation facility PPS. Click the link above to read more about this week’s updates.

April 28, 2015
Medicare Insider

This week’s note is about Medically Unlikely Edits. Click the link above for more information and an in-depth analysis.

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