May 31, 2016
Medicare Insider

This week’s updates include July calendar year 2016 quarterly update to the Medicare Physician Fee Schedule Database; Claim Status Category and Claim Status Codes update; and more!

May 31, 2016
News & Insights

A county public health director in New York state recently presented a plan for an opioid task force that would employ a case manager dedicated solely to locating inpatient rehabilitation beds and follow-up counseling for addicts.

May 26, 2016
News & Insights

CMS recently released two July 2016 quarterly updates: Transmittal R3523, the July update to OPPS, and Transmittal R3524CP, the related July update to the integrated outpatient code editor (I/OCE). Hospitals are strongly encouraged to review both of these updates to obtain important guidance on the billing, processing, and payment of inpatient and outpatient hospital services covered under Medicare Part B.

May 25, 2016
Medicare Insider

There is one newly approved Recovery Auditor issue.

May 25, 2016
Medicare Insider

This week’s updates include a survey and certification letter for the adoption of 2012 Life Safety and Health Care Facilities Code; the July 2016 updates to the Integrated Outpatient Code Editor and hospital OPPS; and more!

May 25, 2016
News & Insights

Q: You previously wrote about the new HCPCS code and modifier for biosimilar products, but are there any additional new HCPCS codes coming for July?

May 20, 2016
News & Insights

Sepsis isn’t the only clinical condition with an updated definition that could impact coding and documentation. A task force of the National Pressure Ulcer Advisory Panel (NPUAP) recently changed terminology related to pressure ulcers that includes new terms that are not yet part of ICD-10-CM.

May 24, 2016
News & Insights

Q: Who can complete inpatient certification?

 

May 24, 2016
News & Insights

Q: Who can complete inpatient certification?

 

May 24, 2016
News & Insights

Are your physicians clinging to the past? Several new studies have found that physicians and patients are still holding on to outdated, and low-value services.

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