CMS recently announced that it is accepting comments until November 29 on a proposal to collect acquisition cost data from hospitals participating in the 340B drug discount program.
Preliminary findings released by the Massachusetts Health Policy Commission (HPC) show that maximized coding may have increased statewide commercial spending for inpatient services by nearly 11% between 2013 and 2018.
Your heart may flutter when you’re nervous, but if this happens on a regular basis, it could be a sign of a serious heart condition. Atrial fibrillation (AF), a common and potentially fatal cardiovascular condition, is an irregular heartrate that can cause blood clots, stroke, and other heart-related complications.
Findings from a retrospective study recently published in the Journal of Cardiac Failure show that pulmonary hypertension is frequently identified but rarely coded in electronic health records.
While the calendar year 2020 OPPS proposed rule is shorter than in prior years (819 pages for the display version), the proposed policies therein pack a punch and may be thought of as a new day dawning for the future of hospital services.
The American Medical Association recently released the 2020 CPT code set, adding 248 new codes including many for online E/M services and drug-delivery device implantations, set to go into effect January 1.
Q: How should we handle canceled inpatient-only procedures? Are these are still coded to the full intended procedure under OPPS and modified with a -73 or -74 modifier? Most of these cases result in changed orders to outpatient due to the patient being discharged the same day. Can the original inpatient order be used?
