May 11, 2016
Medicare Insider

This week’s note is about the new requirements for using modifier JW.

May 10, 2016
News & Insights

Q: Is there a difference in the documentation requirements for bedside procedures when performed on an inpatient versus outpatient?

May 6, 2016
News & Insights

The addition of thousands of new diagnosis and procedure codes in a single year might typically be cause for concern for hospitals, with ICD-9-CM updates before the 2012 code freeze rarely topping more than a couple hundred per year.

May 1, 2016
Briefings on APCs

Few in the healthcare industry would argue that the way the government currently pays for drugs is the most cost-effective, efficient, and equitable method possible.

May 1, 2016
Briefings on APCs

Last year, as ICD-10 implementation approached, organizations throughout the U.S. reported varying levels of comfort with regard to readiness and understanding of the impact of ICD-10 on physician workflow. For some, it was business as usual. For other physicians, ICD-10 became one more check box on the list of reasons to leave practice.

May 1, 2016
Briefings on APCs

CMS proposed an extensive five-year, two-phase plan to overhaul Part B drug payments for physicians and hospitals in March outside of the normal OPPS rulemaking cycle that could be implemented as early as this fall.

May 3, 2016
News & Insights

Q: How can hospitals set charges for bedside procedures?

April 29, 2016
News & Insights

This week’s release of the Merit-based Incentive Payment System (MIPS) and Alternative Payment Models (APM) proposed rule outlines CMS' specific plans for physician payments, pushing forward with its goal to increase value-based payments and unifying its varied quality, value, and EHR programs. 

April 21, 2016
News & Insights

Major changes in rural health clinic billing requirements has created significant problems processing those claims. Read an expert's take on the current issues facing rural health clinic revenue professionals.

April 12, 2016
Medicare Insider

This week’s updates include a transmittal regarding completing and processing Form CMS-1500 Data Set; a transmittal from Provider Reimbursement Manual, Part 1–Chapter 31 on Organ Acquisition Payment Policy; and more!

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