March 18, 2016
News & Insights

The healthcare industry got a five-year break from annual code updates for ICD codes as preparations for ICD-10 implementation took place, but the updates will be back this year and bigger than ever. 

March 15, 2016
Medicare Insider

This week’s updates include July quarterly update to 2016 annual update of HCPCS codes used for SNF Consolidated Billing (CB) enforcement; updates to Pub. 100-04, Medicare Claims Processing Manual, Chapters 4 and 5 to correct remittance advice messages; and more!

March 15, 2016
News & Insights

Q: What are the penalties for failure to meet the provider-based rules?

March 11, 2016
News & Insights

CMS proposed a test this week for a new Medicare Part B prescription drug plan that would replace its previous policy of paying physicians and outpatient hospital departments the average sales price (ASP) plus 6%.

March 9, 2016
News & Insights

CMS will require revenue code and HCPCS code reporting for rural health clinics starting April 1. CMS created more questions than answers during the recent Rural Health Open Door Forum call and in the guidance published in the last few months. This article will help sort through the issue.

March 9, 2016
Medicare Insider

This week’s note is about new rural health clinic billing requirements. 

March 8, 2016
Medicare Insider

This week’s updates include coding revisions to NCDs; the April 2016 hospital OPPS update; and more!

March 8, 2016
News & Insights

Q. How is CMS made aware of the fact that a hospital is operating a provider-based department?

March 1, 2016
Briefings on APCs

Our experts answer questions about Composite APCs, modifier –CT, and more.

March 1, 2016
Briefings on APCs

This month's column is all about data--the importance of providers reporting accurate and complete data, as well as CMS having complete, accurate, and consistent data to compute future payment rates.

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