July 27, 2016
News & Insights

Have you ever wondered how other HIM professionals work and how their departments operate? Now you can find out! HCPro's HIM Briefings is conducting a benchmarking survey on HIM roles and responsibilities, and we would appreciate your input. Please take a few moments to complete this survey.

July 26, 2016
Medicare Insider

This week’s updates include the quarterly update to the CCI edits; denial codes for missing or insufficient documentation; and more!

July 22, 2016
News & Insights

CMS recently released the 2017 ICD-10-PCS code updates and guidelines, which include changes to certain root operations. Of the updates, the most notable modifications are the addition of root operation Perfusion, and edits to the current definitions of Control and Creation.

July 8, 2016
News & Insights

CMS released the 2017 Medicare Physician Fee Schedule proposed rule yesterday, with policies that look to expand an Innovation Center program, revise payment for care management services, and collect data regarding global period payments. 

July 8, 2016
News & Insights

CMS proposes aligning its conditional packaging modifiers and deleting a much-maligned modifier for separately payable laboratory tests in the 2017 OPPS proposed rule, released July 6. 

June 24, 2016
News & Insights

CMS issued a final rule last week to revamp the way it pays for tests under the Clinical Laboratory Fee Schedule (CLFS), though the agency has pushed the start date back a year and worked to ease administrative burden based on public comments. 

June 17, 2016
News & Insights

ICD-10 implementation was always expected to result in a drop in coding productivity and accuracy, but the impact has been much lower than anticipated, according to a recent white paper from the AHIMA Foundation.

June 8, 2016
News & Insights

In the July quarterly OPPS update, CMS mentions billing physical and occupational therapy and speech-language pathology services provided in support of or adjunctive to comprehensive APC services under revenue code 0940 rather than the NUBC-defined revenue codes. This article helps make sense of the situation.

June 10, 2016
News & Insights

If CMS’ late April release of a change request requiring reporting of the previously optional modifier -JW (drug amount discarded/not administered to any patient) by July 1 seemed too sudden, the good news is many other providers—and the agency—agreed.

June 1, 2016
Briefings on APCs

CMS' coding modifiers are not always used to report clinical components of a service. Sometimes they can be used in order to provide information about how a service relates to Medicare coverage policies.

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