March 23, 2020
News & Insights

Q: Are disposable instrumentation tools, those typically used in endoscopic or cardiac procedures, considered integral to the procedure or are they separately chargeable?

March 18, 2020
News & Insights

CMS announced blanket waivers of certain Medicare requirements to prevent gaps in care for beneficiaries affected by the novel coronavirus (COVID-19) public health emergency. The agency released billing instructions and a set of Q&As.

March 1, 2020
Briefings on APCs

To enhance efforts to combat the opioid crisis in America, CMS policy allows for a new benefit under Medicare Part B concerning Opioid Treatment Programs.

March 16, 2020
News & Insights

Q: Are lab tests included the Comprehensive APC for observation services?

March 16, 2020
News & Insights

The American Medical Association (AMA) announced Friday that its CPT® Editorial Panel expedited approval of a unique CPT code to report laboratory testing services for COVID-19. The new code supports the urgent public health need for streamlined reporting of testing for the novel coronavirus.

March 11, 2020
News & Insights

CMS provided updated coding and billing information in its Clinical Laboratory Fee Schedule (CLFS) for organizations performing tests for COVID-19 and providing treatment for confirmed or suspected COVID-19 infections.

March 1, 2020
Briefings on APCs

The Centers for Disease Control and Prevention (CDC) is monitoring the rapid spread of a novel 2019 coronavirus, formally named COVID-19, first identified in Wuhan, Hubei Province, China. On January 30, the International Health Regulations Emergency Committee of the World Health Organization (WHO) declared the COVID-19 outbreak a public health emergency of international concern due to its sustained person-to-person spread within countries and across continental borders.

March 9, 2020
News & Insights

Findings from an Office of Inspector General (OIG) audit show that CHI St. Vincent Infirmary, a regional health network in Arkansas, improperly billed for 103 of 120 sampled claims related to outlier payments, which resulted in the improper billing of outliers totaling $581,136.

March 25, 2020
HIM Briefings

Use this sample cover letter as a template when returning overpayments.

March 18, 2020
HIM Briefings

Navigating Medicare’s rules for charging for ancillary services, bedside procedures, and supplies is no easy task. Get an expert perspective on how to apply the rules.

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