The American Medical Association (AMA) recently approved the consolidation of more than 50 codes used to report COVID-19 vaccines, as well as the addition of several new codes.Read More »
Q: Are we allowed to bill the facility evaluation and management (E/M) service if a patient was triaged then left without being seen (LWBS) by a physician/nonphysician practitioner?Read More »
Q: If a patient in the emergency department (ED) leaves without being seen (LWBS) by a physician/nonphysician practitioner, should we have facility charges?Read More »
CMS is moving ahead with most of its proposed changes, including cuts to disproportionate share hospital (DSH) payments, in the fiscal year (FY) 2024 Inpatient Prospective Payment System (IPPS) final rule.Read More »
CMS has resumed testing of the activation of systematic validation edits for outpatient providers with multiple service locations. After postponing testing during the public health emergency, the agency conducted a fifth round of tests in May and revealed it is moving forward with the full...Read More »
CMS released compliance tips for pre-entitlement billing in a recent edition of its MLN Connects® newsletter. The agency instructed providers to use these billing instructions for inpatient admissions when the patient is admitted before their Medicare Part A entitlement date and...Read More »
