Q: Is there any CMS guidance on designation of patient provided/supplied drugs on claims, such as information on revenue codes, HCPCS codes, and quantity?Read More »
Prevention is better than a cure, but that’s often easier said than done when it comes to denials. Use these expert tips to develop a denials strategy that puts the focus on data and collaboration.Read More »
The new CPT® codes will become effective if the FDA issues approval or emergency use authorization for Pfizer’s two-dose COVID-19 vaccine in children ages five to 11.Read More »
Your chargemaster (CDM) is the source of truth that reflects all costs and feeds all billings, and it needs to facilitate accurate charging and defensible pricing to promote a complete, accurate and compliant chargemaster. Read More »
Hospitals must provide uninsured or self-pay patients with good faith cost estimates for services, according to an interim final rule (IFR) released September 30 implementing provisions of the No Surprises Act.Read More »
CMS is rescinding audit determinations for off-campus provider-based departments that claimed the mid-build exception under the 21st Century Cures Act,Read More »
National hospital prescription drug expenditures are surging. In 2019, non-federal hospitals and clinics spent $36.9 billion and $90.3 billion, up 1.5 percent and 11.8 percent from 2018, respectively, according to a July 2020 article in the American Journal of Health System Pharmacy.Read More »
