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!

June 17, 2020
News & Insights

CMS released a new point of origin code for patients transferred from alternate care sites established during the novel coronavirus (COVID-19) public health emergency.

June 1, 2020
Briefings on APCs

The American Hospital Association recently published a Coding Clinic Advisor FAQ regarding ICD-10-CM coding for the novel coronavirus (COVID-19). This article takes a closer look at the main topics addressed in the FAQ, including ICD-10-CM coding for COVID-19 antibody testing, virus signs and symptoms, and comorbidities.

June 15, 2020
News & Insights

The American College of Physicians (ACP) recently wrote a letter to CMS Administrator Seema Verma recommending that several telehealth flexibilities remain in effect for a period after the novel coronavirus (COVID-19) public health emergency (PHE) is lifted.

June 15, 2020
News & Insights

Q: What services will require prior authorization from Medicare starting July 1 and how do we submit prior authorizations to Medicare?

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