Although CMS is projecting higher overall inpatient hospital payments in the fiscal year (FY) 2024 Inpatient Prospective Payment System (IPPS) final rule, some facilities could be facing tighter margins and lower payments for certain services. Learn what you need to do to ensure your organization is in compliance with new requirements.
Providers and coders alike can find NCCI policies challenging to follow and apply. Denise Williams, COC, CHRI, explains the basics of NCCI by defining the initiative, edits, modifiers, and clinical procedure examples.
Cardiopulmonary resuscitation (CPR) is a lifesaving treatment used when the heart or lungs cease to function. Whether CPR is conducted alone or with other services, Nancy Reading, RN, CPC, CPC-P, covers the various ways that CPR can be reported and how to do so.
Terry Tropin, MSHAI, RHIA, CCS-P, reviews the biggest changes to the 2024 ICD-10-CM guidelines and tabular list set to take effect October 1, including deletions of certain COVID-19 screening guidelines, and additional direction for new resistant hypertension and myocardial infarction codes.
CMS’ 2024 OPPS proposed rule, released in July, details major changes to price transparency requirements and proposes numerous changes to behavioral health reimbursement, coverage of dental services, and more.
Read this Q&A to better understand which telehealth programs were made permanent or temporarily extended for Medicare Part B patients until 2024 under the Consolidated Appropriations Act of 2023.
Medical necessity is a term used to describe the need and justification for services a patient will receive, including diagnostic studies or therapeutic treatment. Understand how Medicare defines the term and what requirements must be met.
Complete and accurate reporting under the Hospital Inpatient Quality Reporting Program can result in increased reimbursement. Learn how to use coding and CDI teams to improve the collection of correct data under this program.
When coders think of reporting for neonates and critical care, most think of CPT codes. However, ICD-10-PCS also gives codes to use for procedures for newborns/neonates related to respiratory assistance quickly after birth, when necessary. Refresh your knowledge of these codes.
