January 11, 2021
News & Insights

CMS recently released MLN Matters MM12126, which summarizes 2021 CPT and HCPCS Level II code updates for Part B outpatient therapy services. The changes permanently expand Medicare coverage of certain communication technology-based (CTB) services, including virtual check-ins and telephone assessments. 

January 6, 2021
News & Insights

The Office of Inspector General (OIG) will be conducting a second round of audits to determine whether acute care hospitals are being inappropriately reimbursed for outpatient services provided to inpatients, according to a recent update to the OIG’s Work Plan.

January 1, 2021
Briefings on APCs

This article details 2021 updates to CPT® codes for medicine services including several new codes for continuous electrocardiogram (ECG) recordings and auditory-evoked potentials (AEP), as well as American Medical Association (AMA)-approved CPT codes for COVID-19 immunizations.

January 4, 2021
News & Insights

A federal appeals court on December 29 rejected the hospital industry’s attempt to block CMS’ price transparency rule, effective January 1, that requires hospitals to disclose standard charges, including payer-specific negotiated rates, for 300 services.

December 1, 2020
Briefings on APCs

The HIM department plays a critical role in the revenue cycle, but it’s often placed in a reactive position, limiting its effectiveness. Learn how to improve operations by enhancing the HIM department’s involvement across the revenue cycle.

January 4, 2021
News & Insights

Q: Are procedures removed from the inpatient-only (IPO) list in 2021 subject to the 2-midnight rule?

December 21, 2020
News & Insights

The American Medical Association (AMA) recently updated the CPT code set to include immunization and administration codes for a COVID-19 vaccine under development by AstraZeneca and the University of Oxford.

December 21, 2020
News & Insights

Q: What are some key revenue cycle topics that should be included in education geared toward clinical staff?

December 16, 2020
News & Insights

CMS released new and updated FAQs on Medicare Part B billing and reimbursement for COVID-19 treatments and vaccines.

December 14, 2020
News & Insights

CMS recently released two new HCPCS Level II codes for Regeneron’s antibody drugs casirivimab and imdevimab, effective for dates of service on or after November 21. The creation of the new codes comes in response to the Food and Drug Administration issuance of an emergency use authorization for the drug therapies on November 9.

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