reimbursement
publication date
Revenue Cycle
CMS Expands List of COVID-Related Services Eligible for Modifier -CSThe update added HCPCS Level II codes to the list, effective for Medicare claims with dates of service on or...
Revenue Cycle
Q&A: Billing for Outpatient Therapy ServicesFor the duration of the public health emergency, hospitals may bill outpatient therapy services in two ways.
Revenue Cycle
AHA Brings Site-Neutral and 340B Cases to the Supreme CourtBoth cases have a lengthy history and have seen lower court rulings in favor of the AHA overturned on appeal.
Revenue Cycle
Manual Revenue Cycle Transactions are Costlier than EverThe healthcare industry is leaving $16.3 billion in potential automation savings on the table, finds the 2020 CAQH Index.
Revenue Cycle
CMS Rejects Majority of Applicants for Off-campus PBD StatusThe 21st Century Cures Act created an additional exception that allowed off-campus PBDs that met certain requirements to continue to...
Revenue Cycle
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...
Revenue Cycle
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...
Clinical Care
Biden Urged to Boost Value-Based Care, Decrease Healthcare CostsThe leader of America's Physician Groups pushes for acceleration of the shift from the fee-for-service care model to value-based care.
Revenue Cycle
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...
Revenue Cycle
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...
Revenue Cycle
Reviewing Charts for CCs/MCCsIf CC/MCC capture is improved, that will also increase the organization?s case-mix index and, therefore, its reimbursement.
Revenue Cycle
OIG Begins Follow-up Audit of Outpatient Services Provided to InpatientsThese audits are a follow up to a previous audit that found from 2013 to 2016 Medicare overpaid acute care...