April 13, 2021
News & Insights

Hacking incidents in healthcare increased dramatically as organizations dealt with the novel coronavirus (COVID-19) pandemic throughout 2020, according to a recent report from Protenus, a Baltimore-based healthcare analytics company.

April 12, 2021
News & Insights

Sunrise Hospital & Medical Center in Winchester, Nevada, submitted Medicare claims for rehabilitative services that did not comply with Medicare billing requirements, resulting in an estimated $23.6 million in overpayments submitted over a two-year period, according to an April Office of Inspector General (OIG) report.

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?

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