Billing and reimbursement

Click the link above for more information and an in-depth analysis.  

Click the link above for more information and an in-depth analysis.  

CMS' 2014 IPPS final rule redefined inpatient admissions when it implemented the 2-midnight rule, which requires a validated physician order, documentation of medical necessity, and the expectation of a stay crossing two or more midnights.

Quality measures, such as the Hospital Value-Based Purchasing (VBP) Program, the Hospital Readmissions Reduction Program, and the Hospital-Acquired Condition (HAC) Reduction Program, form the basis of the 2015 IPPS final rule, released August 4.

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

This week’s note is about hot topics from Medicare/Medicaid payment Institute. Click the link above for more information and an in-depth analysis. 

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

This week’s note is about billing related to Investigational Device Exemption studies. 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 inpatient psychiatric billing. Click the link above for more information and an in-depth analysis.