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.
The American Thoracic Society and Infectious Diseases Society of America recently published guidelines for the diagnosis and treatment of adults with community-acquired pneumonia. The updated guidelines are an attempt to better identify patients at risk for pneumonias due to multidrug-resistant bacteria such as Gram-negative rods and methicillin-resistant Staphylococcus aureus.
The Medicine section of the CPT Manual includes codes for a variety of services including acupuncture, vaccinations, and behavioral health assessments and is divided into 33 subsections that can make it challenging to navigate.
CMS put hospitals on track to face expanded price transparency requirements with a final rule released in November 2019. Take a closer look at how price transparency is set to change and what hospitals need to do.
On January 28, CMS published a revised Medicare Claims Processing Transmittal 4501 and the associated MLN Matters 11501 regarding the 2020 update to the therapy code list to change a statement about how two new biofeedback codes will be paid.
CMS is expanding Medicare coverage of next-generation sequencing (NGS) to diagnose certain types of ovarian and breast cancer, according to a January 27 decision memo.
Q: How do we bill for services when our utilization review (UR) team determines postdischarge that an inpatient admission was not medically necessary? Are these services billed as outpatient or inpatient?
