March 23, 2020
News & Insights

Providers in the U.S. will soon have a specific ICD-10-CM diagnosis code for the COVID-19 virus. During a March 18 meeting, The ICD-10 Coordination and Maintenance Committee announced that it would adopt the World Health Organization code, U07.1 (COVID-19), effective April 1.

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.

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