February 9, 2016
Medicare Insider

This week’s updates include FY 2015 Report to Congress; expanding uses of Medicare data by qualified users; and more!

February 9, 2016
News & Insights

Q: Does the concurrence of the attending physician, that is required for condition code 44, need to be recorded by the attending physician, or can another practitioner write the concurrence

February 5, 2016
News & Insights

Q: Did something change with the observation services composite APC in 2016? The director of patient financial services says we no longer receive payment for it.

February 5, 2016
News & Insights

The debate over CMS’ 0.2% IPPS payment reduction as a result of implementing the 2-midnight rule continued this week, with the American Hospital Association (AHA) calling the cut “unlawful” in a letter to Andy Slavitt, CMS acting administrator. 

February 3, 2016
News & Insights

HCPro is currently seeking speakers to present at the 2016 Revenue Integrity Symposium, to be held September 26–27, 2016, in San Antonio, Texas.

February 2, 2016
Medicare Insider

This week’s updates include OIG Advisory Opinion No. 16-01; required billing updates for rural health clinics; and more!

February 2, 2016
News & Insights

Q: Will a self-denial billed with condition code W2 have the same effect on the skilled nursing facility (SNF) three-midnight qualifying stay requirement as condition code 44?

February 1, 2016
News & Insights

Per CPT1, modifier -52 is used when a service or procedure is partially reduced or eliminated at the provider's discretion.

Pages