Covid-19CMS to Reduce Payments for Some COVID-19 Tests
Starting January 1, 2021, these codes will be reimbursed at a base rate of $75.
Revenue CycleChart Audit Focus Areas
Review hospital (or other healthcare facility) department medical record documentation for improvement opportunities as part of a scheduled periodic review...
Revenue CycleReporting Separately Payable E/M Services with Modifier -25
In general, Medicare considers E/M services provided on the day of a procedure to be part of the work of...
Revenue CycleAMA Releases New COVID-19 and Flu Combo Codes
The new codes describe nucleic acid assays that simultaneously detect COVID-19 and a combination of common viral infectious agents, including...
Revenue CycleQ&A: Reimbursement Under PCF Model
The PCF model will reimburse participants through a simple payment structure.
Revenue CycleICD-10-PCS Reporting for CRT-Ps
A typical implantation of a CRT-P with its three leads and use of an anti-infective envelope would require five ICD-10-PCS...
Clinical CarePhysician Productivity Gains Offset Cost of Medical Scribes
The addition of two new patient visits per day or three returning patient visits was profitable for all specialists.
Revenue CycleReporting Shared Visit Services Using the 2021 E/M Guidelines
In cases where two providers perform distinct services during an encounter, the physician should use individual times to calculate a...
StrategyChanges to Inpatient Dialysis MS-DRGs
CMS created three new MS-DRGs whose relative weights will be calibrated to account for hemodialysis costs and will therefore be...
Revenue CycleICD-10 Committee Proposes New 2021 ICD-10-CM Codes for COVID-19
The creation of the new combined code would "improve coding specificity for pneumonia due to [COVID-19]," according to committee members.
Revenue CycleReporting Requirements for Modifier -58
Since the mastectomy is a staged/planned and therapeutic procedure performed after a diagnostic service, modifier -58 is appropriate.
Revenue CycleAHA: UnitedHealthcare's New Lab Test Code Requirements Create Unnecessary Burden
With resources already strained due to the ongoing novel coronavirus (COVID-19) pandemic, some organizations might not be able to comply,...