Coding

Medicare’s new method of calculating payment rates for laboratory tests, intended to reduce Medicare spending by $360 million in the first year, could cost the agency billions in overpayments, according to a recent report from the U.S. Government Accountability Office. 

CMS hit the brakes on making imminent changes to the oft-used E/M code set that’s tied to billions of dollars in medical practice revenue.

CMS recently released Transmittal 2142, announcing a new HCPCS telehealth modifier effective for claims submitted on or after January 1.

Stay on top of risk-adjustment coding guidelines with these tips.

Use these tips to avoid common TKA coding and documentation pitfalls.

Experts share field-tested advice for avoiding coding and documentation errors during and after EHR transitions.

In the 2019 OPPS final rule, released November 2, CMS implemented several site-neutral payment policies, though the agency did delay or shelve other proposals due to stakeholder feedback.

Findings from a retrospective study recently published in the Journal of Surgical Education show that medical students may be more likely than faculty members to document low levels of service for E/M office visits. 

Remittance processing and appeals are integral parts of the revenue cycle. When facilities submit a claim to Medicare, the hope is that the claim will be paid in full and in a timely manner, but that does not always happen.

Use coding guidelines to optimize coder accuracy and productivity and increase the department’s key contribution to cancer research data.