July 8, 2020
News & Insights

The American Hospital Association (AHA) is urging CMS to delay the effective date of the Hospital Price Transparency Requirements final rule.

July 1, 2020
Briefings on APCs

CMS recently issued a major update to frequently asked questions (FAQ) on COVID-19 fee-for-service billing issues. The bulk of the new FAQs concerns hospitals and the ability to invoke various waivers in order to deliver services to patients in their homes using telecommunications technologies.

July 6, 2020
News & Insights

The Centers for Disease Control (CDC) posted the fiscal year (FY) 2021 ICD-10-CM final code changes last week. There were no changes to the proposed list of 490 new, 47 revised, and 58 invalidated codes that were released in the proposed FY 2021 Inpatient Prospective Payment System rule. 

July 6, 2020
News & Insights

Q: Some of our physicians who ordinarily provide services in our provider-based department (PBD) are now providing services to patients in our relocated PBDs, including patients' home. Are we allowed to bill an originating site fee in these circumstances?

June 29, 2020
News & Insights

CMS recently released updates to National Correct Coding Initiative (NCCI) Medically Unlikely Edits (MUE) for provider services. Effective July 1, the update will restore the MUEs that CMS deleted with an off-schedule revision and assign an MUE value of 24 to dozens of services.

June 29, 2020
News & Insights

Q: In form locator (FL) 6 of the UB-04, what date should be listed as the "from" date for a preadmitted patient?

June 24, 2020
News & Insights

CMS clarified billing instructions for off-campus hospital outpatient services and provider-based departments (PBD) in its most recent update to its novel coronavirus billing

June 22, 2020
News & Insights

CMS released several new HCPCS codes for laboratory testing services, effective July 1, as part of its quarterly update to the Clinical Laboratory Fee Schedule (CLFS).

June 22, 2020
News & Insights

Q: What guidelines do the Office of Inspector General (OIG) expect to see in our laboratory billing policies?

June 17, 2020
Medicare Insider

This week’s Medicare updates include guidance on data to include when reporting COVID-19 test results to the CDC, recommendations on re-opening facilities for non-emergent care, updates to the OIG work plan, and more!

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