October 18, 2016
News & Insights

Is it appropriate for a critical access hospital hospital to bill with Type of Bill (TOB) 013X versus TOB 085X, or are they only to bill with 085X?

October 11, 2016
Medicare Insider

This week’s Medicare updates include the release of the October 2016 Medicare Quarterly Provider Compliance Newsletter; OIG reports on Medicare payments for clinical diagnostic laboratory tests; Reform of Requirements for Long-Term Care Facilities; and more!

October 11, 2016
News & Insights

How can hospitals differentiate the cost of care for bedside procedures from other services?

October 5, 2016
Medicare Insider

This week’s note from the instructor is about the use of modifier -CG on claims by rural health clinics.

October 5, 2016
Medicare Insider

This week’s Medicare updates include a transmittal recurring update notification describing changes to and billing instructions for various payment policies implemented in the October 2016 OPPS update; news about CMS once again allowing some providers to settle inpatient status claims in appeals; an OIG report regarding the improper payment of millions of dollars for unlawfully present beneficiaries; and more!

September 15, 2016
News & Insights

The Comprehensive Care for Joint Replacement (CJR) model may unfairly punish hospitals that treat more complex patients, according a study published in

September 16, 2016
News & Insights

With the first data reporting period beginning January 1, 2017, for CMS’ revamped Clinical Laboratory Fee Schedule, the agency has released a user guide and template to aid providers who are required to submit the data. 

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