October 12, 2020
News & Insights

Q: How will CMS reimbursement providers in the Primary Care First (PCF) model?

October 12, 2020
News & Insights

The American Medical Association (AMA) released two new CPT codes October 7 for reporting antigen tests that detect the novel coronavirus (COVID-19) and influenza.

October 7, 2020
News & Insights

Revenue integrity experts shared advice and lessons learned over the past months during day one of Revenue Integrity and Reimbursement Strategies: A NAHRI Virtual Event.

October 1, 2020
Briefings on APCs

Valerie A. Rinkle, MPA, CHRI, reviews what providers need to know about the latest payment model from CMS’ Centers for Medicare and Medicaid Innovation.

October 5, 2020
News & Insights

A September audit by the Office of Inspector General (OIG) said Alta Bates Summit Medical Center in Oakland, California, incorrectly billed Medicare for inpatient and outpatient services between 2017 and 2019, resulting in overpayments of $1.5 million.

October 5, 2020
News & Insights

Q: How will CMS make payments for radiation therapy (RT) services under the Radiation Oncology Model rule?

September 30, 2020
News & Insights

Organizations that received Provider Relief Fund payments of more than $10,000 will be required to report information on how PRF payments were used as well as  expenses related to the novel coronavirus that were not reimbursed (COVID-19), according to new HHS guidance.

September 28, 2020
News & Insights

During a meeting in early September, members of the ICD-10 Coordination and Maintenance Committee proposed creating new ICD-10-CM codes related to screening, exposure, and personal history for the novel coronavirus (COVID-19). The new codes, if finalized, would take effect in January 2021.

September 28, 2020
News & Insights

Q: What changes to inpatient dialysis MS-DRGs did CMS finalize in the 2021 Inpatient Prospective Payment System final rule?

September 23, 2020
News & Insights

UnitedHealthcare’s (UHC) plan to require in-network, freestanding and outpatient laboratory claims to contain a unique code for most lab testing services is poorly timed and poses significant implementation hurdles, the American Hospital Association (AHA) said.

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