Billing and reimbursement

CMS issues certain quarterly updates relating to hospital outpatient services.These updates are primarily issued in the form of two recurring update notification transmittals (RUN).The first of these is a quarterly update to the IOCE Specifications. The second is a quarterly update to the Outpatient Prospective Payment System (OPPS). Because the most significant outpatient hospital changes become effective as of the beginning of each calendar year, the January updates are particularly important.Click the link above for more information and an in-depth analysis.

This week’s note is about modifier -59. Click the link above for more information and an in-depth analysis.  

This week’s note is about related claims. Click the link above for more information and an in-depth analysis.

This week’s note is about supervision levels at critical access and small rural hospitals. Click the link above for more information and an in-depth analysis.  

This week’s note is about updates to the post-acute transfer policy. Click the link above for more information and an in-depth analysis.

This week’s note is about Medicare bad debt reimbursement. Click the link above for more information and an in-depth analysis.

This week’s note is about modifier 59 replacement codes. Click the link above for more information and an in-depth analysis.

This week’s note is a follow up to an earlier discussion on coverage of drugs under the various parts of Medicare. Click the link above for more information and an in-depth analysis.

This week’s note is about billing for preventative services and follow-up items. Click the link above for more information and an in-depth analysis. 

This week’s note is about coverage of prescription drugs. Click the link above for more information and an in-depth analysis.