CMS is proposing several changes to the Comprehensive Care for Joint Replacement (CJR) model, including a three-year extension, in a proposed rule published in the Federal Register on February 24.
Q: Can we bill for Part A payment for an inpatient stay of less than two midnights if the physician expected the patient to meet the 2-midnight benchmark at the time of admission?
CMS announced February 13 that it created a new HCPCS Level II laboratory testing code for SARS coronavirus 2, the virus that causes novel coronavirus. Medicare’s claims processing system will be able to accept this code on April 1 for dates of service on or after February 4.
The nuances of documenting and billing for observation services can trip up even the savviest organization. Get a refresher on the basics to ensure your organization avoids common pitfalls.
Sepsis hospitalizations are on the rise and cost Medicare more than $40 billion in 2018, according to a U.S. Department of Health and Human Services (HHS) study.
Over 20% of commercially insured adults who underwent a common in-network surgical procedure between January 2012 and September 2017 received surprise charges for the episode from out-of-network clinicians, according to a recent study published in JAMA.
This week’s Medicare updates include a new NCA on artificial hearts and related devices, the advance notice for 2021 Medicare Advantage rates and policies, two memos for hospitals regarding coronavirus considerations, and more!
Providers need to clean up coding for electro-acupuncture devices, according to CMS. Claims submitted with HCPCS code L8679 will be subject to additional scrutiny to ensure they're correct.
The Patient-Driven Payment Model has shaken up skilled nursing facility (SNF) billing and coding. Learn the ins and outs of PDPM and how it will affect your organization.
