CMS is rescinding audit determinations for off-campus provider-based departments that claimed the mid-build exception under the 21st Century Cures Act,
CMS will begin reprocessing 2019 claims for some services rendered at excepted off-campus provider-based departments. The affected claims are for services represented by HCPCS code G0463 (hospital outpatient clinic visit for assessment and management of a patient) with dates of service between January 1, 2019, and December 31, 2019.
Chargemasters is more than just CPT® and HCPCS codes. It’s a key part of processes across departments, and its data can help a hospital develop insights into its operations.
To keep the chargemaster in top shape, don’t stop at CPT/ HCPCS code updates. An effective chargemaster governance...
Denials management continues to be a significant challenge for healthcare organizations in 2021, and beyond. Earlier this year, NAHRI conducted a survey to its Leadership Council on denials management, and 100 leaders,...
Q: How should we bill for trauma activation without pre-hospital notification and how should we capture charges for these services? Do we bundle the charge in with the facility evaluation and management (E/M) code?
