The 2022 Medicare Physician Fee Schedule (MPFS) final rule ushers in significant changes to billing for split/shared visits, telehealth coverage, and more.Read More »
The 2022 Outpatient Prospective Payment System (OPPS) final rule finalizes major changes to enforcement of CMS’ hospital price transparency requirements, among other changes.Read More »
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 »
