Revenue CycleCMS Expands List of COVID-Related Services Eligible for Modifier -CS
The update added HCPCS Level II codes to the list, effective for Medicare claims with dates of service on or...
Revenue CycleQ&A: Billing for Outpatient Therapy Services
For the duration of the public health emergency, hospitals may bill outpatient therapy services in two ways.
Revenue CycleAHA Brings Site-Neutral and 340B Cases to the Supreme Court
Both cases have a lengthy history and have seen lower court rulings in favor of the AHA overturned on appeal.
Revenue CycleManual Revenue Cycle Transactions are Costlier than Ever
The healthcare industry is leaving $16.3 billion in potential automation savings on the table, finds the 2020 CAQH Index.
Revenue CycleCMS Rejects Majority of Applicants for Off-campus PBD Status
The 21st Century Cures Act created an additional exception that allowed off-campus PBDs that met certain requirements to continue to...
Revenue CycleCMS to Reprocess 2019 Claims for Certain Excepted Off-campus Provider-based Department Services at Lower Payment
This is the latest chapter in a long-running dispute about CMS? authority to reduce payment for services provided at excepted...
Revenue CycleAMA Announces Free Tool for Reporting COVID-19 Immunizations
The new tool allows providers to determine appropriate CPT/HCPCS codes for COVID-19 immunizations by inputting information on the vaccine manufacturer...
Clinical CareBiden Urged to Boost Value-Based Care, Decrease Healthcare Costs
The leader of America's Physician Groups pushes for acceleration of the shift from the fee-for-service care model to value-based care.
Revenue CycleUHC: Some Prior Authorization Requirements Temporarily Suspended
The temporary suspension affects facilities in UHC?s Medicare Advantage, Medicaid, individual, and group health plans and is retroactively effective December...
Revenue Cycle2021 CPT/HCPCS Therapy Update Expands Reimbursement for Certain Telehealth Services
CMS added 144 services to its list of physician telehealth services that will continue to be covered beyond the end...
Revenue CycleReviewing Charts for CCs/MCCs
If CC/MCC capture is improved, that will also increase the organization?s case-mix index and, therefore, its reimbursement.
Revenue CycleOIG Begins Follow-up Audit of Outpatient Services Provided to Inpatients
These audits are a follow up to a previous audit that found from 2013 to 2016 Medicare overpaid acute care...