billing
publication date
Revenue Cycle
AMA Announces New CPT Code for Johnson & Johnson's COVID-19 VaccineThe AMA also created a new HCPCS Level II code for the vaccine's administration.
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What Rev Cycles Need to Know About the No Surprises ActThe No Surprises Act goes into effect January 1, 2022, and protects patients from surprise medical bills and establishes an...
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Reporting Stroke, Seizure in ICD-10-CM Without Pre-existing DisorderSeizures do not get classified as epilepsy unless the seizures are recurrent.
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Arbitration It Is. But How to Decide Who Wins in Surprising Billing Disputes?A new Health Affairs study compares arbitration outcomes in New Jersey to relevant benchmarks.
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CMS to Reprocess 2019 Claims for Certain Excepted Off-campus Provider-based Department Services at Lower PaymentThis is the latest chapter in a long-running dispute about CMS? authority to reduce payment for services provided at excepted...
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AMA Announces Free Tool for Reporting COVID-19 ImmunizationsThe new tool allows providers to determine appropriate CPT/HCPCS codes for COVID-19 immunizations by inputting information on the vaccine manufacturer...
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Selecting the Right Credentialing SoftwareHere are some tips for pinpointing specific organizational needs, choosing the right vendor, and earning buy-in from organization leadership.
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Querying for Acute Respiratory FailureIn addition to traditional clinical validation queries, we've also had a great deal of success with queries for conflicting documentation....
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ICD-10-CM Coding for Ectopic PregnanciesAn ectopic pregnancy is reported using an ICD-10-CM code from category O00.- (ectopic pregnancy), which is divided into five subcategories.
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UHC: Some Prior Authorization Requirements Temporarily SuspendedThe temporary suspension affects facilities in UHC?s Medicare Advantage, Medicaid, individual, and group health plans and is retroactively effective December...
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2021 CPT/HCPCS Therapy Update Expands Reimbursement for Certain Telehealth ServicesCMS added 144 services to its list of physician telehealth services that will continue to be covered beyond the end...
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4 Takeaways From the First Days of the CMS Price Transparency RuleBecky Greenfield, a partner with Wolfe Pincavage, provides an early temperature check on hospital compliance with CMS' price transparency mandate...