July 1, 2016
Briefings on APCs

Congressional legislation is often written in a way that obfuscates or, at the very least, makes it difficult to discern the impact or intent of a bill.

July 1, 2016
Briefings on APCs

Anatomical modifiers qualify a HCPCS/CPT® code by defining where on the body the service was provided. These modifiers are especially helpful to indicate services that would normally be considered bundled but were actually performed on different body sites.

July 1, 2016
Briefings on APCs

When compared to data from past surveys, HCPro's 2016 HIM director and manager salary survey revealed a harsh truth that many HIM professionals already know: There has been little movement in HIM manager and director salaries over the years.

July 28, 2016
News & Insights

Valerie A. Rinkle, MPA, discusses the proposed changes for billing related to devices in the OPPS proposed rule.

July 26, 2016
News & Insights

CMS may consider delaying implementation of the Medicare Access and CHIP Reauthorization Act (MACRA), Andy Slavitt, CMS acting administrator, said during a meeting of the Senate Finance Committee July 13.

July 26, 2016
News & Insights

What does it mean when a service is nonreportable for a patient in observation?

July 19, 2016
News & Insights

Can a hospital that is not a critical access hospital bill professional charges on UB-04 claims, Type of Bill 013X?

July 8, 2016
News & Insights

CMS released the 2017 Medicare Physician Fee Schedule proposed rule yesterday, with policies that look to expand an Innovation Center program, revise payment for care management services, and collect data regarding global period payments. 

July 8, 2016
News & Insights

CMS proposes aligning its conditional packaging modifiers and deleting a much-maligned modifier for separately payable laboratory tests in the 2017 OPPS proposed rule, released July 6. 

July 12, 2016
News & Insights

Is diagnosis no longer a criteria for the observation APC payment?

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