February 1, 2021
Briefings on APCs

Review coronary anatomy and CPT coding for aortic and iliac repairs, as well as selective procedures used to treat vascular occlusions in the lower extremities.

February 1, 2021
News & Insights

The American College of Physicians (ACP) recently released a policy statement with a series of recommendations for the provision, distribution, and payment of COVID-19 vaccines.

January 27, 2021
News & Insights

The Most Favored Nation (MFN) model interim final rule should be withdrawn immediately, the American Hospital Association (AHA) said in a January 25 letter to CMS.

January 25, 2021
News & Insights

The American Medical Association (AMA) recently added a new CPT code that will be used to report a COVID-19 vaccine candidate under development by Janssen Pharmaceutica, a division of Johnson & Johnson.

January 25, 2021
News & Insights

Q: What information must be submitted to CMS to quality a patient's home as a relocated provider-based department (PBD)?

January 20, 2021
News & Insights

Starting July 1, CMS will reprocess affected claims to pay them at 70% of the 2019 Outpatient Prospective Payment System rate.

January 1, 2021
Briefings on APCs

Hospital coding for pregnancy-related services requires a detailed understanding of the CPT® global obstetric (OB) package and ICD-10-CM coding guidelines for maternal care management. This article details hospital coding for pregnancy and delivery complications and procedures used to treat them.

January 18, 2021
News & Insights

The American Medical Association (AMA) recently released a free tool to help clinical staff determine appropriate CPT® and HCPCS Level II coding for COVID-19 vaccines and vaccine administration.

January 13, 2021
News & Insights

UnitedHealthcare (UHC) is suspending certain prior authorization requirements for in-network hospitals and skilled nursing facilities through January 31.

January 1, 2021
Briefings on APCs

Section 1862 (l) and Section 1869 (f)(2)(B) of the Social Security Act (the Act) sets forth general procedures to develop and evaluate Medicare coverage determinations that are either adopted nationally by CMS or created and applied locally by a Medicare Administrative Contractor (MAC) within the MAC’s own jurisdictional boundaries.

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