HIM professionals have developed innovative solutions to the COVID-19 pandemic. Figuring out what works and what doesn’t will be key over the coming months. Learn how to manage the constant change and monitor for potential problem areas.
CMS released new guidance and clarification on the use of modifier -CR (catastrophe/disaster related) and condition code DR (disaster related) on June 1.
CMS packed some potentially game-changing proposals into a pared-down fiscal year (FY) 2021 inpatient prospective payment system (IPPS) proposed rule. Understand how these proposals could have far-reaching implications for hospitals.
The National Association of Healthcare Revenue Integrity’s (NAHRI) third annual Revenue Integrity Week (June 1–5) kicked off yesterday with the release of the State of the Revenue Integrity Industry Report and daily deals and drawings.
CMS on May 27 released new novel coronavirus (COVID-19) Medicare billing FAQs to address questions related to payment for inpatient services billed during the public health emergency.
Medicare now covers acupuncture for chronic lower back pain, effective for claims with dates of service on or after January 21, 2020, according to a recently published National Coverage Determination.
Modifier -22 indicates that the procedural work performed by the provider or surgeon was substantially greater than what is typically required. The application of this modifier allows providers to receive additional reimbursement for a procedural service that was especially challenging, time-consuming, or unusual.
CMS released the fiscal year (FY) 2020 Inpatient Prospective Payment System (IPPS) proposed rule May 11, which includes just shy of 600 ICD-10-CM code changes. Proposed changes include 490 code additions, 47 revisions, and 58 invalidations, slated to go into effect October 1.
