April 12, 2021
News & Insights

Q: How does CMS calculate payments to rural health clinics (RHC) subject to the all-inclusive rate (AIR)?

April 9, 2021
News & Insights

Q: We have a patient admitted for COVID-19 who is now showing signs of cytokine release syndrome (CRS). Can you give our team more information on symptoms or clinical indicators for CRS as well as any ICD-10-CM coding advice?

April 7, 2021
News & Insights

CMS has begun recovering COVID-19 Accelerated and Advance Payments (CAAP), according to MLN Matters SE21004.

April 7, 2021
News & Insights

Q: We have heard that Medicare short-stay inpatient admissions may soon come under increasing audit scrutiny by Livanta, the Beneficiary and Family-Centered Care Quality Improvement Organizations that was awarded the nationwide contract for reviewing these admissions. What can we do to reduce our audit risk?

April 6, 2021
News & Insights

Mobile Anesthesiologists, an Illinois-based company offering healthcare services throughout the country, reported a breach in March affecting 65,403 individuals, according to the Office for Civil Rights breach report.

April 5, 2021
News & Insights

CMS is holding payments for claims submitted on or after April 1 in anticipation of legislation that will extend the suspension of a 2% cut (sequester) to all Medicare payments, according to a special edition of MLN Connects.

April 5, 2021
News & Insights

Q: What revenue codes are used to prevent triggering a copay or deductible when billing Medicare for COVID-19 monoclonal antibodies?

April 1, 2021
News & Insights

Q: What is a subchondroplasty and how is this procedure reported in CPT?

March 31, 2021
News & Insights

Q: What are the best strategies for case managers to utilize when aiming to help patients with low health literacy?

March 30, 2021
News & Insights

The Office for Civil Rights (OCR) announced on March 24 the 17th settlement of an enforcement action in its HIPAA Right-of-Access Initiative.

Pages