This week’s updates include changes to laboratory NCD software and a mass adjustment of OPPS claims with APC 1448. Click the link above to read more about this week’s updates.
This week’s note is about new rules regarding contractors up coding or down coding. Click the link above for more information and an in-depth analysis.
This week’s updates include removal of multiple NCDs and the quarterly update to the CCI edits. Click the link above to read more about this week’s updates.
This week’s note is about MLN Matters’ recent “Preventative Services” Educational Tool. Click the link above for more information and an in-depth analysis.
Historically, the healthcare revenue cycle has been dominated by fee-for-service (FFS) payment arrangements that reimburse providers for the volume of care they provide. These reimbursement models have always been tempered by medical necessity determinations to ensure that the care delivered to patients is in fact medically necessary. Over the past several decades, healthcare costs have been rising precipitously. In response, new payment models have been developed to curb that trend and to deliver more cost-effective care with higher quality and better outcomes.
