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.

December 30, 2020
HIM Briefings

Use this sample billing and charge audit procedure as a template for your organization.

December 9, 2020
News & Insights

CMS recently published FAQs and other resources to help organizations correctly bill for services that are subject to the three-day payment window policy.

December 1, 2020
Briefings on APCs

CMS' new final rule prepares for vaccine coverage for Medicare, Medicaid, and commercial insurers without any out-of-pocket costs. CMS will pay for any coronavirus vaccine that receives FDA authorization either through an Emergency Use Authorization or via a license under a Biologics License Application.

December 7, 2020
News & Insights

The Centers for Disease Control and Prevention (CDC) December 3 announced the implementation of six new ICD-10-CM codes to identify conditions related to COVID-19.

December 7, 2020
News & Insights

Q: For calendar year 2021, what is the inpatient deductible for Medicare beneficiaries' hospital inpatient lifetime reserve days (LRD)?

December 3, 2020
News & Insights

The 2021 OPPS final rule, released December 2, doesn’t pack many surprises, with CMS generally finalizing most policies as proposed or choosing to continue with current policies. This should aid hospitals required to implement many of its policies in just a few short weeks due to the pandemic-disrupted rulemaking cycle.

December 2, 2020
News & Insights

CMS announced on November 25 that it is building on the flexibilities granted by the Hospitals Without Walls program to launch the Acute Hospital Care at Home program. Under this program, eligible hospitals will be allowed to treat certain inpatients in the patient’s home.

December 1, 2020
Briefings on APCs

Modifiers provide a means by which a physician or facility can flag a service that has been altered by a special circumstance but has not changed in definition or code. Break down CPT guidelines for reporting hospital modifiers -25, -50, -59, -LT, and RT.

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