Billing and reimbursement

This week’s note is about Modifier -59 and –X {EPSU} modifiers. 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 updated CMS guidelines for proper billing of discarded outpatient drugs. 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.  

CMS has finalized changes to packaged services and E/M CPT® codes for clinic visits with the much-anticipated November 27, 2013 release of the 2014 outpatient prospective payment system (OPPS) final rule.

The hospital/health system revenue cycle has a significant role in hospital billing compliance. The billing department is the final gatekeeper for compliance, as it is the final area to touch a bill before it is sent to Medicare. Therefore, it is essential that billing staff understand key compliance risk areas.

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

This week’s note is about recently published final rules. 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.