September 18, 2019
News & Insights

CMS recently reminded hospitals to review compliance with Medicare policy for billing Part B inpatient services.

September 1, 2019
Briefings on APCs

Your heart may flutter when you’re nervous, but if this happens on a regular basis, it could be a sign of a serious heart condition. Atrial fibrillation (AF), a common and potentially fatal cardiovascular condition, is an irregular heartrate that can cause blood clots, stroke, and other heart-related complications.

September 16, 2019
News & Insights

Findings from a retrospective study recently published in the Journal of Cardiac Failure show that pulmonary hypertension is frequently identified but rarely coded in electronic health records. 

September 16, 2019
News & Insights

Q: For the purposes of categorizing charges, how can we determine which charges are related to the clinical trial and which are not?

September 11, 2019
News & Insights

Oceanside Medical Group, a clinic providing mental health services in Santa Monica, California, is disputing an Office of Inspector General (OIG) report that estimated the group received $2.6 million in overpayments for psychotherapy services by failing to comply with Medicare billing and documentation requirements.

September 1, 2019
Briefings on APCs

While the calendar year 2020 OPPS proposed rule is shorter than in prior years (819 pages for the display version), the proposed policies therein pack a punch and may be thought of as a new day dawning for the future of hospital services.

September 9, 2019
News & Insights

The American Medical Association recently released the 2020 CPT code set, adding 248 new codes including many for online E/M services and drug-delivery device implantations, set to go into effect January 1.   

September 9, 2019
News & Insights

Q: How should we handle canceled inpatient-only procedures? Are these are still coded to the full intended procedure under OPPS and modified with a -73 or -74 modifier? Most of these cases result in changed orders to outpatient due to the patient being discharged the same day. Can the original inpatient order be used?

September 6, 2019
News & Insights

Learn how the Cleveland Clinic and Revint implemented tools and strategies to improve charge capture.

September 4, 2019
News & Insights

The October 2019 OPPS quarterly update reassigned certain injections from non-payable to separately payable. CMS also revised the status indicators for several recently approved advanced diagnostic laboratory tests (ADLT).

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