News & Analysis

August 1, 2016
Briefings on APCs

CMS' Transmittal 3523, issued May 13, is the quarterly July 1 OPPS update. In this transmittal, CMS briefly mentions billing physical and occupational therapy and speech-language pathology services provided in support of or adjunctive to comprehensive APC (C-APC) services under revenue code 0940 (general therapeutic services) rather than the National Uniform Billing Committee‑defined revenue codes for these services (i.e., 042x, 043x, and 044x, respectively).

August 1, 2016
Briefings on APCs

Modifier -58 describes a staged or related procedure or service by the same provider during the postoperative period. For outpatient hospitals, the postoperative period is defined as the same service date.

July 27, 2016
Medicare Insider

This week's note is about CMS' 2017 OPPS proposals for device packaging.

July 26, 2016
News & Insights

What does it mean when a service is nonreportable for a patient in observation?

July 19, 2016
News & Insights

Can a hospital that is not a critical access hospital bill professional charges on UB-04 claims, Type of Bill 013X?

July 12, 2016
News & Insights

Is diagnosis no longer a criteria for the observation APC payment?

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