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?

June 12, 2020
Case Management Monthly

COVID-19 Medicare billing rules continue to evolve, so it can be challenging to stay abreast of the developments. Some recent changes have given case managers and hospitals more flexibility when it comes to treating both COVID-19 and non-COVID patients, as medical practices increasingly look to resume providing elective surgeries and other procedures.

June 10, 2020
News & Insights

CMS updated its Medicare billing FAQs to include new questions related to National Coverage Determinations (NCD) during the novel coronavirus (COVID-19) public health emergency (PHE).

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