May 6, 2020
News & Insights

CMS updated its novel coronavirus (COVID-19) fee-for-service billing FAQs on April 23 and May 1. The updated FAQs address the appropriate use of disaster-related modifiers, remote physiological monitoring (RPM), and more.

May 4, 2020
News & Insights

Q: What titles should be considered necessary members of a revenue cycle compliance committee? What structure should it follow?

May 1, 2020
News & Insights

CMS released a new interim final rule with comment period that grants organizations another round of flexibilities to meet the challenges of the COVID-19 public health emergency, including permitting hospitals to bill for telehealth services and loosening restrictions on COVID-19 testing.

April 1, 2020
Briefings on APCs

On January 1, 2021, hospitals will enter a new world of price transparency. CMS put hospitals on track to face expanded price transparency requirements with a final rule released November 15, 2019.

March 1, 2020
Briefings on APCs

Like other services covered by Medicare, observation must be reasonable and necessary or, in other words, medically necessary. The physician must document that they assessed patient risk to determine that the patient would benefit from observation services.

March 26, 2020
News & Insights

CMS lifted some restrictions on telehealth coverage in a bid to keep non-critically ill patients out of clinics and hospitals in a bid to slow down the spread of the novel coronavirus (COVID-19), but other still apply to hospitals.

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.

February 19, 2020
HIM Briefings

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.

February 17, 2020
Briefings on HIPAA

Now that training gaps have been identified, training development can begin. Some topics to consider here are subject matter experts, training delivery method, and the use of outside vendors.

February 12, 2020
Medicare Insider

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!

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