September 2, 2020
News & Insights

The Office of Inspector General (OIG) will be reviewing Medicare payments for the novel coronavirus (COVID-19) discharges, according to a recent update to its Work Plan.

September 2, 2020
HIM Briefings

A strong revenue cycle is key to staying afloat in the face of evolving challenges. Use these best practices to bolster the accounts receivable process and tap into revenue.

September 1, 2020
Briefings on APCs

Several recent changes affect hospitals’ 340B programs. Follow these eight tips to review and optimize your hospital’s 340B program.

August 31, 2020
News & Insights

Q: What are the recommended policies for a revenue integrity department?

August 26, 2020
News & Insights

CMS extended the education and operations testing period for the Appropriate Use Criteria (AUC) program for advanced diagnostic imaging through 2021. The education and operations testing period, which started January 1, 2020, was slated to close at the end of the year.

August 19, 2020
News & Insights

Inpatient novel coronavirus (COVID-19) claims will require a positive viral test result to be eligible for the 20% increase in the MS-DRG weighting factor, effective for admissions on or after September 1.

August 12, 2020
News & Insights

CMS’ latest round of updates to its novel coronavirus FAQs on Medicare fee-for-service billing provides additional information on hospital billing for remote services, including a decision tree guiding hospitals through their options for billing for telemedicine.

August 1, 2020
Briefings on APCs

Judith L. Kares, JD, writes about the unique coverage, billing, and payment rules that apply to these blood products and related services under Part B.

August 4, 2020
News & Insights

Facing the unprecedented COVID-19 public health emergency, CMS released the 2021 OPPS proposed rule later than ever before, with the agency generally reinforcing its recent focus on site-neutral payment policies, lowering reimbursement for drugs purchased under the 340B program, and adding more services to the list of prior authorization. 

August 5, 2020
News & Insights

Organizations may bill Medicare for isolation and quarantine counseling provided to patients being tested for the novel coronavirus (COVID-19).

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