News & Analysis

February 1, 2015
Strategies for Healthcare Compliance

Beginning January 1, 2015, physicians will no longer need to provide certification for an inpatient admission unless the admission is expected to last for at least 20 days or the case is an outlier.

February 1, 2015
Briefings on APCs

Our experts answer questions about coding diabetes in ICD-10-CM, hypothermia coding for neonates, and more.

February 1, 2015
Briefings on APCs

In December 2014, CMS posted a document on its Advisory Panel on Hospital Outpatient Payment (HOP Panel) website outlining the hospital outpatient therapeutic services that were recently evaluated for a change in supervision levels. The three-page document contains a chart that includes the HCPCS code, the level of supervision required for coverage, and the effective dates of the changes for various services.

February 1, 2015
Briefings on APCs

Since portions of the reproductive system use some of the same structures as the urinary system, including the urethra, codes for conditions involving both male and female reproductive systems appear in Chapter 14 of ICD-10-CM, Diseases of the Genitourinary System.

January 26, 2015
Medicare Insider

This week’s updates include modifications to Medicare Shared Systems and an emergency update to CY 2015 MPFSDB. Click the link above to read more about this week’s updates.

January 26, 2015
Medicare Insider

This week’s note is about Modifier -59 and –X {EPSU} modifiers. Click the link above for more information and an in-depth analysis.

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