September 15, 2020
Briefings on APCs

CMS continues to focus on site-neutral payment policies and keeping payments down for 340B-acquired drugs in the 2021 OPPS proposed rule, released in early August.

September 14, 2020
News & Insights

The American Medical Association (AMA) on September 8 published two new CPT codes for novel coronavirus (COVID-19)-related services, including one that accounts for additional supplies and clinical staff time used to mitigate spread of the virus.

September 9, 2020
News & Insights

The American Hospital Association (AHA) asked the U.S. Court of Appeals for the District of Columbia to rehear a July 17 decision in favor of CMS’ site-neutral payment policy, the AHA announced September 1.

September 1, 2020
Briefings on APCs

CMS is moving forward for E/M changes for physician billing according to the 2021 Medicare Physician Fee Schedule. Read about those changes, as long as a preview of new CPT codes that will be added for 2021.

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.

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