News & Analysis

March 1, 2015
Briefings on APCs

The January quarterly I/OCE update includes new modifiers, changes related to expanded packaging, and continued refinement of CMS' skin substitutes categories, but the biggest change for outpatient hospitals is the implementation of comprehensive APCs (C-APC).

March 1, 2015
Strategies for Healthcare Compliance

RC.01.01.01, Content of the Medical Record, did not top the list of survey findings for hospitals in the first half of 2014, according to the September 2014 issue of Joint Commission Perspectives. Nor was it on the list for critical access hospitals at all! However, 49% of hospitals surveyed received a requirement for improvement for this standard, primarily in the EPs related to timing and dating entries. This indicates hospitals are still using a lot of paper records. That said, the downward swing is encouraging as more and more hospitals fully implement the EMR.

March 1, 2015
Strategies for Healthcare Compliance

Coronary artery bypass graft (CABG) procedures are not the only ones coders will report using the root operation bypass in ICD-10-PCS. Surgeons can create bypasses in other vessels of the body.

February 24, 2015
Medicare Insider

This week’s updates include durable medical equipment modifiers and an update to the federally qualified health centers PPS. Click the link above to read more about this week’s updates.

February 24, 2015
Medicare Insider

This week’s note is about inpatient psychiatric billing. Click the link above for more information and an in-depth analysis. 

February 17, 2015
Medicare Insider

This week’s updates include a RAC specific denial code and an oncology care model. Click the link above to read more about this week’s updates.

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