News & Analysis

April 11, 2018
Medicare Insider

This week’s Medicare updates include a final rule on various policies throughout the Medicare program involving drug pricing, the final 2019 Medicare Advantage rate announcement and call letter, a list of newly added waived test codes, and more! 

April 9, 2018
News & Insights

What strategies would you recommend for building an effective denials management team?

April 4, 2018
Medicare Insider

This week’s Medicare updates include two new fact sheets on Merit-based Incentive Payment System (MIPS) policies, a Special Edition MLN Matters article on proper coding for certain laboratory tests, instructions regarding the new skilled nursing facility Advance Beneficiary Notice (ABN) forms; and more! 

April 4, 2018
News & Insights

Medicare Advantage plan payment rates will increase by an average of 3.4% in 2019 due to higher projected per-capita cost growth for Medicare fee-for-service. The final pay bump is significantly higher than the 1.84% increase proposed in the 2019 advance notice.

April 2, 2018
News & Insights

A patient came to our endoscopy suite for a bronchoscopy due to an abnormal chest X-ray. The physician documented that a transbronchial lung biopsy was obtained from the right upper lobe and the right lower lobe. What would be the correct CPT® codes to report?

April 1, 2018
Briefings on APCs

With the expansion of telehealth services, providers for both the originating site and distant site can also count on the expansion of Medicare contractor audits.

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