November 2, 2020
News & Insights

CMS recently announced that it intends to delay the launch of the new Radiation Oncology Model to July 1, 2021 instead of January 1, 2021. The decision comes after stakeholders commented that a January start date would place an unfair burden on providers already challenged by staff shortages.

November 2, 2020
News & Insights

Q: How does case-mix index (CMI) impact hospital finances? What should revenue integrity staff look for when conducting CMI analyses?

October 30, 2020
News & Insights

Q: What is the difference between cold, hot, and mixed type autoimmune hemolytic anemia, as described by 2021 ICD-10-CM codes D59.11-D59.13?

October 29, 2020
News & Insights

Q: If employees are working remotely and accessing protected health information (PHI) not only on their computers and mobile devices, but printing it as well, how should they safely dispose of the printed PHI?

October 28, 2020
News & Insights

Q: Going into the fall and winter months, what resources can case managers rely on when responding to the novel coronavirus (COVID-19) pandemic?

October 28, 2020
News & Insights

The full U.S Court of Appeals declined to reconsider two recent decisions that upheld CMS’ cuts to reimbursement for certain off-campus provider-based department (PBD) visits and drugs acquired under the 340B program, the American Hospital Association (AHA) announced October 19.

October 27, 2020
News & Insights

The Georgia Department of Human Services (Georgia DHS) on October 9 reported a security incident that potentially affected 45,732 individuals, according to the Office for Civil Rights (OCR) breach report.

October 26, 2020
News & Insights

Physician and non-physician practitioners may benefit from reviewing bundling rules for emergency department visit services billed on the same date as critical care, according to the October 2020 Medicare Quarterly Compliance Newsletter.

October 26, 2020
News & Insights

Q: Starting January 1, 2021, CMS will be lowering reimbursement for high throughput novel coronavirus (COVID-19) diagnostic tests from $100 to $75. I understand that if certain requirements are met labs will be eligible to bill for a $25 add on code. How can we meet the requirements for the add on code?

October 23, 2020
News & Insights

Q: Are there fiscal year 2021 ICD-10-PCS codes our coding team can use for Introductions of therapeutics for our inpatients with COVID-19?

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