Billing and reimbursement

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

In the Medicare Claims Processing Transmittal 2903, April 2014 Update of the Hospital Outpatient Prospective Payment System (OPPS), CMS discusses the current policy regarding billing for certain devices that are received by facilities at no cost, full credit, or partial credit.

There has been some confusion surrounding a possible Recovery Auditor-related provision in the American Taxpayer Relief Act of 2012, also known as the fiscal cliff deal.

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

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

This week’s note is about changes to CMS policies related to preadmission inpatient-only procedures. 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 about medically unlikely edits. Click the link above for more information and an in-depth analysis.

Ensuring detailed documentation isn't important only with respect to documenting medical necessity. Case managers should also ensure physicians are including enough information in patient records to help them accurately estimate length of stay (LOS), says Glenn Krauss, BBA, RHIA, CCS, CCS-P, CPUR, PCS, FCS, C-CDIS, CCDS, an independent health information management consultant in Madison, Wis.

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