News & Analysis

September 1, 2017
Briefings on APCs

In the 2018 OPPS proposed rule, CMS proposed a change to the current clinical laboratory date-of-service policies for molecular pathology tests and for Advanced Diagnostic Laboratory Tests.

August 31, 2017
Medicare Insider

This week's note from the instructor explores the recent October Quarterly Updates for hospitals. 

August 30, 2017
News & Insights

A number of providers feel unfamiliar with the impact of MACRA and whether they are eligible for participation in the program.

August 28, 2017
News & Insights

How should diagnostic services be covered in hospital outpatient departments?

August 23, 2017
HIM Briefings

Resolving claims returned with National Correct Coding Initiative edits or Medically Unlikely Edits can be a time-consuming process. Organizations need processes to promote best practices and keep appeals on track, as well as coding and billing policies that address common front-end problems that lead to these edits.

August 23, 2017
News & Insights

The CMS policy in the 2018 OPPS proposed rule with potentially the largest administrative and financial burden for hospitals should not be finalized, according to the agency’s own advisory panel.

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