News & Analysis

October 1, 2018
Briefings on APCs

It's been more than three years since CMS introduced a subset of modifiers it wants providers to report instead of modifier -59 (distinct procedural service), but they're still optional as barely any new guidance has been released.

September 26, 2018
Medicare Insider

This week’s Medicare updates include information on special waivers to assist Medicare providers, suppliers, and beneficiaries impacted by Hurricane Florence; a proposed rule on changes to various Medicare requirements, Conditions of Participation, and Conditions of Coverage; a review of Medicare payments for clinical laboratory tests; and more! 

September 19, 2018
Medicare Insider

This week’s Medicare updates include CMS’ support for Hurricane Florence preparation, ICD-10 and other coding revisions to national coverage determinations, quarterly HCPCS drug/biological code changes, and more!

September 19, 2018
News & Insights

NAHRI is hosting the 2018 Revenue Integrity Symposium (RIS) October 16–17 at the Wigwam Resort in Litchfield Park (Phoenix), Arizona. The conference is an important event for revenue integrity networking and education.

September 19, 2018
News & Insights

Q: Are there reimbursement codes for transition services that case managers provide?

September 17, 2018
News & Insights

Q: What is a denial avoidance program and how does it differ from a denials management program?

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