Billing and Claims

A federal judge rejected CMS’ motion to reconsider or issue a stay on her September order to vacate cuts to reimbursement to grandfathered off-campus provider-based departments.

Q: We are in the middle of changing the hospital methodology for charging cardiac cath procedures within Epic CUPID. What is your hospital’s workflow for charging cardiac cath procedures?

Find your inspiration to stay informed and motived on your revenue integrity journey.

Take an in-depth look at the 2020 IPPS final rule to ensure your organization is ready for a major revision to the hospital wage index calculation and more.

Understand how new payment policies can help ease adoption of new technology.

Learn about the major proposed changes, including far-reaching and complex price transparency requirements.

A site-neutral payment policy touted by the Trump administration as among its healthcare policy successes was vacated by a federal judge.

Learn how interdepartmental shadowing can help revenue integrity improve processes and solve recurring issues.

The October 2019 OPPS quarterly update reassigned certain injections from non-payable to separately payable. CMS also revised the status indicators for several recently approved advanced diagnostic laboratory tests.

Q: How do we bill for items provided to a patient participating in a clinical trial that are not listed on the billing intention?