Health Information Management

Health Information Management Articles by Topic: APCs

Parenthetical note changes dominate 2014 CPT updates

  • Briefings on APCs, Issue 3, March 1, 2014

      Although the AMA changed hundreds of codes in the 2014 CPT® Manual, most of the changes...

Understanding the value of MUEs

  • Briefings on APCs, Issue 3, March 1, 2014

      When an NCCI edit occurs on a claim, providers can go directly to CMS’ website and...

ICD-10 anatomy refresher: Wrists and hands

  • Briefings on APCs, Issue 3, March 1, 2014

      Coders are aware that ICD-10-CM will allow much more specificity than ICD-9-CM, and that is...

Packaging labs under 2014 OPPS

  • Briefings on APCs, Issue 3, March 1, 2014

      CMS has been making it clear over the years that packaging would become a larger and larger...

ICD-10 financial impact still largely unknown for organizations

  • APCs Insider, Issue 4, January 24, 2014

    There’s no question as October 1 approaches that the transition to ICD-10 will have a huge...

Q&A: Did CMS change the inpatient-only list?

  • APCs Insider, Issue 4, January 24, 2014

    Q: Did CMS make any changes to the inpatient-only list for 2014?

Q&A: Which edits did CMS discontinue for 2014?

  • APCs Insider, Issue 3, January 17, 2014

    Q: Did CMS discontinue the device-to-procedure and radiopharmaceutical-to-nuclear medicine...

Q&A: Which drugs and biologicals have pass-through status for 2014?

  • APCs Insider, Issue 2, January 10, 2014

    Q: Which drugs and biologicals have pass-through status for 2014?

Q&A: Can we still report a modifier for device credits?

  • APCs Insider, Issue 51, December 13, 2013

    Q: Will we need to continue appending the modifier when we receive credit for a device from the...

OPPS final rule serves as sign of things to come

  • APCs Insider, Issue 50, December 6, 2013

    CMS may not have finalized all of its sweeping proposals in the 2014 OPPS Final Rule released...

Q&A: Are there new pass-through devices for 2014?

  • APCs Insider, Issue 50, December 6, 2013

    Q: We have started our charge description master (CDM) updates for 2014 and wonder if there will be...

Tip: Time documentation crucial for drug administration

  • APCs Insider, Issue 50, December 6, 2013

    Accurate time documentation is critical for drug administration coding because it can sometimes...

OPPS delay means no holiday for outpatient facilities

  • APCs Insider, Issue 49, November 22, 2013

    For many, this is the time of year when the latest updated rules, regulations, and payment rates...

Q&A: Coding drug administration for observation patients

  • APCs Insider, Issue 49, November 22, 2013

    Q: An observation patient received an IV push on the first day (9/28) and an infusion the...

CMS releases latest round of CLIA updates

  • APCs Insider, Issue 47, November 8, 2013

    CMS has released its update of the latest tests approved by the FDA as waived tests under the...

Shutdown's effects could linger for healthcare

  • APCs Insider, Issue 44, October 18, 2013

    After 16 days of negotiation, brinkmanship, and finally, agreement, the government shutdown ended...

Q&A: Why did the MAC return a claim for a covered drug administration?

  • APCs Insider, Issue 44, October 18, 2013

    Q: Our MAC has recently updated the self-administered drug (SAD) listing and removed...

CMS offers help for ICD-10 transition

  • APCs Insider, Issue 40, September 20, 2013

    As September comes to a close and the calendar turns to October, the healthcare industry will be...

EHR growth is a double-edged sword

  • APCs Insider, Issue 39, September 13, 2013

    As the use of electronic health records (EHR) grows, providers across the country are learning that...

Q&A: Should we wait to bill flu vaccine?

  • APCs Insider, Issue 39, September 13, 2013

    Q: We have started administering the flu vaccine using Fluzone, but the CPT® code has a...

October OPPS update brings retroactive changes

  • APCs Insider, Issue 38, September 6, 2013

    CMS recently released a transmittal updating payment rates, status indicators, and device...

Q&A: Are new pass-through device categories coming?

  • APCs Insider, Issue 38, September 6, 2013

    Q: Has CMS established any new pass-through device categories for October?

Tip: Billing glucose reading before a PET scan

  • APCs Insider, Issue 38, September 6, 2013

    Checking a patient's glucose by glucometer is reasonable before a PET scan for patient care and...

Rejected debridement claims should be resubmitted

  • APCs Insider, Issue 36, August 23, 2013

    Receiving a billing rejection can be frustrating, especially when you’re confident the...

Q&A: Why did the auditor disallow our order?

  • APCs Insider, Issue 36, August 23, 2013

    Q: An external company audited our outpatient cardiology department. Our physicians write an order...

Tip: CMS adds two brachytherapy codes

  • APCs Insider, Issue 36, August 23, 2013

    CMS recently added two new codes for payment of new brachytherapy sources for which source codes...

Voice your opinion on OPPS changes

  • APCs Insider, Issue 35, August 16, 2013

     By Steven Andrews Coders may often feel like CMS imposes major changes on rules and...

Q/A: Should we report a mammogram?

  • APCs Insider, Issue 34, August 9, 2013

    Q: We perform a mammogram after a breast procedure, like placement of a needle localization wire or...

Device/procedure edits may disappear

  • APCs Insider, Issue 33, August 2, 2013

    At first glance, CMS’ proposal to eliminate the device-to-procedure and procedure-to-device...

Note proposals in Medicare Physician Fee Schedule

  • APCs Insider, Issue 28, July 12, 2013

    In the past, outpatient facilities only worried about the OPPS proposed rule, inpatient facilities...

Q/A: Is CMS reducing payment for CPT code 77371?

  • APCs Insider, Issue 13, March 29, 2013

    Q: We heard that CMS will reduce payment for CPT® code 77371 (radiation treatment delivery...

Tip: Review common services to determine effect to geometric mean

  • APCs Insider, Issue 3, January 18, 2013

    CMS finalized a change to the way it generates APC relative weights: For 2013, the agency will use...

Q/A: Addendum B as the basis for coverage

  • APCs Insider, Issue 1, January 4, 2013

    Q: In the 2013 OPPS Addendum B, when we look up a specific CPT® code, it shows status indicator...

Q&A: Bypassing NCCI edits

  • APCs Insider, Issue 51, December 21, 2012

    Q:  We are applying modifiers to line items on claims to bypass the National Correct Coding...

July I/OCE updates: CMS reinstates device-to-procedure edit, adds new codes

  • JustCoding News: Outpatient, Issue 32, August 8, 2012

    As part of the July update to the Intergrated Outpatient Code Editor, CMS reinstated HCPCS C1882 to...

Q/A: Changes in supervision levels for outpatient therapeutic services

  • APCs Insider, Issue 27, July 13, 2012

    Q:  In the calendar year (CY) 2012 final OPPS rule, CMS noted that the APC Panel would be...

Healthcare News: CMS releases 2013 OPPS proposed rule

  • JustCoding News: Outpatient, Issue 28, July 11, 2012

    CMS is proposing two major changes as part of the 2013 Outpatient Prospective Payment System (OPPS...

Q/A: New composites for 2012

  • APCs Insider, Issue 7, February 17, 2012

    Q. What new composites, if any, did CMS create for 2012?

Q/A: Correct use of modifier -FB and -FC

  • APCs Insider, Issue 2, January 13, 2012

    Q: Our billing office is concerned about reports that the OIG is auditing for appropriate use of...

Q/A: Charging for wound care supplies

  • APCs Insider, Issue 41, October 7, 2011

    Q. We would like to charge for the wound and ostomy supplies used in our hospital outpatient wound...

Q/A: Know important dates for outpatient updates

  • APCs Insider, Issue 35, August 26, 2011

    Q: Fall is sneaking up on us as we near the end of summer. What are most the important tasks that...

Special report: Payment cap based on MS-DRG debated during APC Panel meeting

  • APCs Insider, Issue 35, August 26, 2011

    CMS’ plan to cap payment for cardiac resynchronization therapy (CRT) based on Medicare...

Q/A: New code for image-guided minimally invasive lumbar decompression

  • APCs Insider, Issue 32, August 12, 2011

    Q: Has CMS provided any updates regarding image-guided minimally invasive lumbar decompression...

Special report: News from the Advisory Panel on Ambulatory Payment Classification Groups Meeting

  • APCs Insider, Issue 32, August 12, 2011

    Editor’s note: Kimberly Anderwood Hoy, JD, CPC, Director of Medicare and compliance at HCPro...

Q/A: Reimbursement for composite CPT codes

  • APCs Insider, Issue 15, April 15, 2011

    Q: We’ve been reporting the new combination CPT® code for a CT of the abdomen and pelvis...

Q/A: Reimbursement for composite CPT codes

  • APCs Insider, Issue 15, April 15, 2011

    Q: We’ve been reporting the new combination CPT® code for a CT of the abdomen and pelvis...

Q/A: Revenue codes for drug charges

  • APCs Insider, Issue 14, April 8, 2011

    Q: Some of our drug charges with HCPCS J-codes are rolled into revenue code 250 (pharmacy) on the...

Q/A: Reporting platelet rich plasma injection on Medicare claims

  • APCs Insider, Issue 4, January 28, 2011

    Q: The 2011 CPT® Manual includes code 0232T for injection(s), platelet rich plasma, any tissue...

Tip: Report drug administration codes properly

  • APCs Insider, Issue 4, January 28, 2011

    Medicare recognizes the 2011 CPT® Manual’s drug administration codes, and hospitals...

Q/A: Changes to HBO therapy billing

  • APCs Insider, Issue 1, January 7, 2011

    Q: Did CMS provide any new updates for hyperbaric oxygen (HBO) therapy services for 2011?

Q/A: Packaged vs. bundled services

  • APCs Insider, Issue 44, October 29, 2010

    Q: People in our hospital use the terms “bundling” and “packaging&rdquo...

Tip: Take these actions to ensure correct use of modifier -25

  • APCs Insider, Issue 28, July 9, 2010

    Modifier -25 indicates a “significant, separately identifiable E/M service by the same...

Q&A: Resolve confusion around injection, infusion coding

  • Briefings on APCs, Issue 7, July 1, 2010

    Many HIM professionals, coders, and billers continue to struggle with correct coding for injections...

Build a base for comprehensive review of procedure data

  • Briefings on APCs, Issue 7, July 1, 2010

    The technical nature of the CPT coding system can be very challenging for coding specialists, and...

Cure what ails your pain management coding

  • Briefings on APCs, Issue 7, July 1, 2010

    As reimbursement for complex pain management continues to decrease, your coding must drive accurate...

Modifier -25: Is that E/M service really above and beyond the norm?

  • Briefings on APCs, Issue 7, July 1, 2010

    A patient comes into your outpatient facility for a minor surgical procedure and the physician...

Briefings on APCs, July 2010

  • Briefings on APCs, Issue 7, July 1, 2010

    Inside: Is that E/M service really above and beyond the norm?  Cure what ails your pain...

Tip: Learn your contractor?s rules for hyperbaric oxygen therapy

  • APCs Insider, Issue 25, June 18, 2010

    Hyperbaric oxygen (HBO) therapy is a relatively new service, so the various MACs and FIs interpret...

This month's coding Q&A

  • APC Payment Insider, Issue 6, June 1, 2010

    In this month's coding Q&A, our experts answer questions about how to report Unna boot...

Reduce coding and billing errors by always knowing who is appending modifiers, always reviewing documentation

  • APC Payment Insider, Issue 6, June 1, 2010

    The sheer number of modifiers can cause plenty of confusion for HIM staff. The rules about which...

Check off requirements for hyperbaric oxygen therapy before treatment

  • APC Payment Insider, Issue 6, June 1, 2010

    Hyperbaric oxygen (HBO) therapy is a relatively new service, meaning different MACs and FIs...

CMS makes few changes to I/OCE edits for April

  • Briefings on APCs, Issue 6, June 1, 2010

    CMS added 10 new HCPCS codes and six new APCs to the I/OCE as part of Transmittal R1927CP’s...

Reduce coding and billing errors by knowing who appends modifiers, always reviewing documentation

  • Briefings on APCs, Issue 6, June 1, 2010

    The sheer number of modifiers can cause plenty of confusion for HIM staff. The rules about which...

CAHs get a break on physician supervision rules for 2010

  • Briefings on APCs, Issue 6, June 1, 2010

    When CMS released its physician supervision requirements as part of the 2010 OPPS final rule...

Briefings on APCs, June 2010

  • Briefings on APCs, Issue 6, June 1, 2010

    In this month's issue, we detail the importance of prequalifying patients for hyperbaric oxygen...

Q/A: Determine how to report Unna boot application, debridement

  • APCs Insider, Issue 21, May 21, 2010

    Q. Our question pertains to Unna boot application. Is it true that we may not bill 29580...

Tip: Responding to MUE denials

  • APCs Insider, Issue 21, May 21, 2010

    In one-time notification R617OTN, CMS notes that organizations can report reasonable and necessary...

Tip: Designate staff member to monitor drug compendia

  • APCs Insider, Issue 20, May 14, 2010

    Drug compendia are designed to educate their users with respect to both clinical and financial...

Q/A: Report E/M code when clinician evaluates separate complaint

  • APCs Insider, Issue 19, May 7, 2010

    Q: My question pertains to new CPT code 29581 (application of multi-layer venous wound compression...

Tip: Train staff about appeals for medically unlikely edit denials

  • APCs Insider, Issue 19, May 7, 2010

    CMS now denies claim lines with units of service that exceed the medically unlikely edit (MUE) for...

CMS discusses the three-day rule, pulmonary rehab

  • Briefings on APCs, Issue 5, May 1, 2010

    CMS representatives discussed the three-day rule and pulmonary rehab supervision during a Hospital...

Check the total time to report correct units of therapy

  • Briefings on APCs, Issue 5, May 1, 2010

    A therapist spends five minutes performing an ultrasound and performs 20 minutes of therapeutic...

Now on the to-track list: medically unlike edit appeals

  • Briefings on APCs, Issue 5, May 1, 2010

    Add one more thing to your list of items to track: medically unlikely edit (MUE) denials and...

Complex compendia rules complicate reimbursement

  • Briefings on APCs, Issue 5, May 1, 2010

    In a perfect world, CMS and other payers would reimburse facilities and physicians for every...

Briefings on APCs, May 2010

  • Briefings on APCs, Issue 5, May 1, 2010

    Inside: Complex compendia rules complicate reimbursement Now on the to-track list: Medically...

Check the total time to report correct units of therapy

  • APC Payment Insider, Issue 5, May 1, 2010

    A therapist spends five minutes performing an ultrasound and performs 20 minutes of therapeutic...

On the to-track list:  MUE denials and appeals

  • APC Payment Insider, Issue 5, May 1, 2010

    Add one more thing to your list of items to track: medically unlikely edit (MUE) denials and...

APC Payment Insider, May 2010

  • APC Payment Insider, Issue 5, May 1, 2010

    In this issue, we explain how CMS’ decision to denial units in excess of medically unlikely...

Q/A: Correct use of modifier -50

  • APCs Insider, Issue 17, April 23, 2010

    Q: Can you explain use of CPT modifier -50, bilateral procedure and the reporting for outpatient...

Tip: What to look for when auditing injections and infusions

  • APCs Insider, Issue 17, April 23, 2010

    When you audit drug administration, begin by looking for proper documentation. Look for signed and...

Tip: Correctly assign modifier -59 to override NCCI edits

  • APCs Insider, Issue 16, April 16, 2010

    Some therapies are considered edited pairs and are not billable on the same date of service unless...

Q/A: Report CPT code for procedure, bill supply charge for adhesive

  • APCs Insider, Issue 16, April 16, 2010

    Q: How should we report DERMABOND® wound repair? Does this differ depending on whether the...

Q/A: Billing for services provided during observation

  • APCs Insider, Issue 15, April 9, 2010

    Q: For a patient in observation, a nurse provides CPT code 51702 (insertion of temporary indwelling...

Tip: Billing condition code 44 and observation

  • APCs Insider, Issue 15, April 9, 2010

    Condition code 44 changes a patient’s initial inpatient status to outpatient for purposes of...

Tip: Know criteria for using condition code 44

  • APCs Insider, Issue 13, April 2, 2010

    Condition code 44 changes a patient’s initial inpatient status to outpatient for purposes of...

Correctly code for new cardiac, pulmonary rehab benefits

  • APC Payment Insider, Issue 4, April 1, 2010

    To take advantage of the new Medicare benefits for cardiac and pulmonary rehab services, coders...

APC Payment Insider, April 2010

  • APC Payment Insider, Issue 4, April 1, 2010

    In this issue, we explain the necessity of differentiating between mandatory and voluntary ABNs and...

Audit injections and infusions to ensure correct coding

  • Briefings on APCs, Issue 4, April 1, 2010

    In an environment of increasing audits, hospitals must monitor and resolve drug administration...

Should you override that outpatient therapy NCCI edit?

  • Briefings on APCs, Issue 4, April 1, 2010

    When an outpatient physical therapist provides exercise using land- and water-based therapy to the...

Observation, physician supervision requirements add  additional complications when coding condition code 44

  • Briefings on APCs, Issue 4, April 1, 2010

    As if condition code 44 weren’t confusing enough, observation services and physician...

Inpatient to outpatient: Understand requirements of condition code 44

  • Briefings on APCs, Issue 4, April 1, 2010

    Mrs. Smith arrives in the ED at 8 a.m. Tuesday. Dr. Jones writes an admission order at 11:45 a.m...

Briefings on APCs, April 2010

  • Briefings on APCs, Issue 4, April 1, 2010

    In this issue, we explain the basics of condition code 44 and explore the challenges presented by...

New members needed for Provider Roundtable

  • HIM-HIPAA Insider, Issue 12, March 30, 2010

    In 2003, HCPro, Inc., Nimitt Consulting, Inc., and 3M Health Information Systems joined forces to...

Improve coding quality and reimbursement

  • Briefings on APCs, Issue 5, March 26, 2010

    Coders know that, with few exceptions, they may not report something that a physician has not...

Q/A: No MUE limits published for 96372

  • APCs Insider, Issue 12, March 26, 2010

    Q: A physician orders one dose of a medication to be administered intramuscularly (IM) or...

Tip: Understand NCCI edits

  • APCs Insider, Issue 12, March 26, 2010

      CMS introduced NCCI edits for outpatient therapy in 1996 to prevent improper payment when...

Provider Round Table seeking new members

  • APCs Insider, Issue 12, March 26, 2010

    In 2003 HCPro, Inc., Nimitt Consulting, Inc., and 3M Health Information Systems joined forces to...

Q/A: Severity of illness and APCs

  • APCs Insider, Issue 11, March 20, 2010

    Q: Does severity of illness affect APC reimbursement under the hospital OPPS as it does under the...

Tip: Charge for opened supplies for canceled procedure

  • APCs Insider, Issue 11, March 19, 2010

    Should hospitals charge for open but unused supplies when a patient is brought to the OR and...

Q/A: Using modifier -59 for EKGs

  • APCs Insider, Issue 10, March 12, 2010

    Q: Should we use CPT modifier -59 (distinct procedural service) for a preoperative EKG performed on...

Tip: Consider whether to provide voluntary ABN

  • APCs Insider, Issue 10, March 12, 2010

    CMS’ decision allowing facilities to voluntarily provide patients with an ABN for statutorily...

Q/A: Billing for technical component of clinic visit

  • APCs Insider, Issue 9, March 5, 2010

    Q: My hospital has multi-specialty, provider-based clinics, so when billing for clinic visits, we...

Tip: Report correct units for drugs

  • APCs Insider, Issue 9, March 5, 2010

    One challenge for coding drugs is ensuring that you code them according to their descriptions...

Comply with CMS guidelines for cardiac, pulmonary rehab

  • APC Payment Insider, Issue 3, March 1, 2010

    Cardiac and pulmonary rehabilitation program coordinators face plenty of challenges as they...

2010 CPT: Tumor excisions, facet joint injections among most  significant changes

  • APC Payment Insider, Issue 3, March 1, 2010

    Coders will find more than 450 changes in the 2010 CPT Manual, with the most significant...

APC Payment Insider, March 2010

  • APC Payment Insider, Issue 3, March 1, 2010

     In this issue, we examine some of the major CPT code changes for 2010 and review the coding...

Q/A: Unbundling therapy services

  • APCs Insider, Issue 8, February 26, 2010

    Q: If a physical performance test is conducted (97750, physical performance test or measurement...

Tip: Determine the root cause of a ’never event’

  • APCs Insider, Issue 8, February 26, 2010

    Never events, such as wrong-site surgeries, are actually rare events, says Alsie Fitzgerald, RN...

Q/A: Correct revenue code for wound care depends on provider, location

  • APCs Insider, Issue 7, February 19, 2010

    Q: Which revenue code should we use to report wound care if an occupational therapist or physical...

Tip: Meet CMS' new pulmonary rehabilitation guidelines

  • APCs Insider, Issue 7, February 19, 2010

    All Medicare patients with moderate, severe, or very severe classifications of chronic obstructive...

Q/A: Don't report 94002 in ED

  • APCs Insider, Issue 6, February 12, 2010

    Q: May we report CPT code 94002 for a patient started on a ventilator in the ED? Must the patient...

Tip: Distinguish between orders, requisitions for diagnostic tests

  • APCs Insider, Issue 6, February 12, 2010

    In the 2010 Medicare Physician Fee Schedule final rule, CMS restates its self-described...

Tip: Create a chart to aid hemorrhoid coding

  • APCs Insider, Issue 4, February 5, 2010

    The revised CPT codes for hemorrhoids may be problematic for coders. Avoid confusion by developing...

CMS finalizes changes to physician supervision requirements

  • APC Payment Insider, Issue 2, February 1, 2010

    CMS adopted a new standard for supervision of therapeutic services provided in a hospital or...

OPPS final rule: CMS changes drug payment formula, physician supervision

  • APC Payment Insider, Issue 2, February 1, 2010

    CMS revised requirements for physician supervision and finalized a variety of drug reimbursement...

APC Payment Insider, February 2010

  • APC Payment Insider, Issue 2, February 1, 2010

    In this issue examine how to properly assign modifiers. This issue also contains our index of 2009...

CMS clarifies physician signatures needed on all lab orders

  • Briefings on APCs, Issue 2, February 1, 2010

    If your healthcare organization doesn’t require a physician signature on all orders for...

Prevent and react to outpatient never events

  • Briefings on APCs, Issue 2, February 1, 2010

    In October 2009, an orthopedic surgeon at Rhode Island Hospital operated on the wrong finger of a...

Comply with CMS guidelines for cardiac, pulmonary rehab

  • Briefings on APCs, Issue 2, February 1, 2010

    Cardiac and pulmonary rehabilitation program coordinators face plenty of challenges as they...

2010 CPT changes: Rethink revamped radiology codes

  • Briefings on APCs, Issue 2, February 1, 2010

    Three changes in diagnostic and interventional radiology will require coders to rethink how they...

2010 CPT: Tumor excisions, facet joint injections among most significant changes

  • Briefings on APCs, Issue 2, February 1, 2010

    Editor’s note: This is the second article in a two-part series on the 2010 CPT code changes...

Briefings on APCs, February 2010

  • Briefings on APCs, Issue 2, February 1, 2010

    In this issue, we examine specific CPT code changes for 2010. We also explain the new cardiac and...

Tip: Know what documentation is necessary to code tumor excisions

  • APCs Insider, Issue 4, January 29, 2010

    The AMA made a significant number of changes to soft tissue and bone tumor excision codes for 2010...

Tip: Understand the new codes for soft tissue tumors

  • APCs Insider, Issue 3, January 22, 2010

    The AMA has significantly changed musculoskeletal system codes pertaining to soft tissue and bone...

Q/A: Billing for H1N1 flu vaccine administration

  • APCs Insider, Issue 2, January 15, 2010

    Q: We submitted claims to Medicare for the H1N1 flu vaccine using CPT code 90470 (H1N1 immunization...

Tip: Train employees to avoid 'never events'

  • APCs Insider, Issue 2, January 15, 2010

    Training employees is the important thing employers can do to prevent “never events.”

Q/A: Correct orders for lab services

  • APCs Insider, Issue 1, January 8, 2010

    Q: All of a sudden we are receiving recoupments for some lab work we performed. The information...

Tip: Create a tool to help bill FDG PET scans

  • APCs Insider, Issue 1, January 8, 2010

    In order for your facility to be reimbursed for FDG PET scans, you need to properly bill them. One...

Briefings on APCs 2009 index

  • Briefings on APCs, Issue 1, January 1, 2010

    Track down that hard-to-find Briefings on APCs article. Use our index to find articles we published...

Understand challenges, opportunities with PET coverage

  • Briefings on APCs, Issue 1, January 1, 2010

    CMS’ recent national coverage determination (NCD) is fairly straightforward, spelling out...

CMS finalizes changes to physician supervision requirements

  • Briefings on APCs, Issue 1, January 1, 2010

    CMS adopted a new standard for supervision of therapeutic services provided in a hospital or...

OPPS final rule: CMS changes drug payment formula, physician supervision

  • Briefings on APCs, Issue 1, January 1, 2010

    CMS revised requirements for physician supervision and finalized a variety of drug reimbursement...

Briefings on APCs, January 2010

  • Briefings on APCs, Issue 1, January 1, 2010

    In this issue, we examine the 2010 OPPS final rule, including the changes to drug reimbursement and...

APC Payment Insider 2009 index

  • APC Payment Insider, Issue 1, January 1, 2010

    Track down that hard-to-find APC Payment Insider article. Use our index to find articles we...

Master modifiers to ensure accurate reimbursement

  • APC Payment Insider, Issue 1, January 1, 2010

    Proper modifier use is a critical part of coding, billing, and reimbursement. Currently, coders can...

APC Payment Insider, January 2010

  • APC Payment Insider, Issue 1, January 1, 2010

    In this issue examine how to properly assign modifiers. This issue also contains our index of 2009...

Tip: Know whether your facility may provide kidney disease education

  • APCs Insider, Issue 49, December 18, 2009

    CMS’ 2010 OPPS final rule addresses a new benefit, coverage of kidney disease education...

Q/A: Coding 'in and out' bladder catherizations

  • APCs Insider, Issue 48, December 11, 2009

    Q: Can we code bladder catheterizations when a urine specimen is obtained for an analysis and the...

Tip: Use modifier -58 for planned return to the OR

  • APCs Insider, Issue 48, December 11, 2009

    Physicians sometimes decide to perform surgery in stages. These situations involve a planned return...

Tip: Use procedural modifiers to further describe services

  • APCs Insider, Issue 47, December 4, 2009

    Procedural modifiers can provide a wealth of information to further describe services provided...

Bill and charge for supplies correctly to reduce risk and minimize lost revenue

  • APC Payment Insider, Issue 12, December 1, 2009

    Hospital departments may be missing revenue for supplies because they don’t understand the...

APC Payment Insider, December 2009

  • APC Payment Insider, Issue 12, December 1, 2009

    In this issue examine how to properly bill for supplies to eliminate lost revenue. Inside...

‘Clarification’ muddies the waters on lab order signatures

  • Briefings on APCs, Issue 12, December 1, 2009

    If you thought you understood CMS’ policy when it comes to physician orders for clinical...

Master modifiers to ensure accurate reimbursement

  • Briefings on APCs, Issue 12, December 1, 2009

    Proper modifier use is a critical part of coding, billing, and reimbursement. Currently, coders can...

Examine codes for complex OB/GYN procedures

  • Briefings on APCs, Issue 12, December 1, 2009

    Understand how to sift through detailed OB/GYN operative notes to ensure accurate code assignment.

Eliminate missed charges, errors to reduce lost revenue

  • Briefings on APCs, Issue 12, December 1, 2009

    Operational inefficiencies, outdated technology, and silo thinking can all lead to lost revenue...

Briefings on APCs, December 2009

  • Briefings on APCs, Issue 12, December 1, 2009

    In this issue, we examine outpatient coding challenges that facilities are still facing. We unravel...

Tip: CPT Chapter 11 codes take precedence in OB/GYN cases

  • APCs Insider, Issue 46, November 20, 2009

    When coding OB/GYN procedures, remember that ICD-9 codes 630–679 in Chapter 11 (Complications...

Q/A: Billing telemetry daily monitoring

  • APCs Insider, Issue 46, November 20, 2009

    Q: Can our hospital code and bill telemetry daily monitoring in conjunction with a chest pain...

Q/A: Documenting lesion size

  • APCs Insider, Issue 45, November 13, 2009

    Q: A surgeon excises a lesion on a patient’s back, but fails to document its size or the...

Tip: Don't overlook small-dollar savings

  • APCs Insider, Issue 45, November 13, 2009

    When considering ways to reduce revenue loss at your facility, don’t look just for big-dollar...

Q/A: May we bill an E/M code for a wound care first visit

  • APCs Insider, Issue 44, November 6, 2009

    Q.  Several of our facilities that include hospital-based outpatient wound care clinics have...

Tip: Determine the number of specimens to code surgical pathology correctly

  • APCs Insider, Issue 44, November 6, 2009

    If you perform a level IV surgical pathology (88305) on more than one specimen from the same...

Modifier -59: Reduce risk, receive correct reimbursement

  • APC Payment Insider, Issue 11, November 1, 2009

    Learn how to correctly use modifier -59 and when to avoid it.

Two years later, medically unlike edits still a puzzle

  • APC Payment Insider, Issue 11, November 1, 2009

    Given the continuing confusion, what can facilities do to handle MUEs?

APC Payment Insider, November 2009

  • APC Payment Insider, Issue 11, November 1, 2009

    In this issue we unravel the mysteries surrounding medically unlikely edits. Inside: &bull...

Q&A: Determining the proper use of modifier -59

  • Briefings on APCs, Issue 11, November 1, 2009

    Our experts answer questions about the appropriate use of modifier -59.

I/OCE quarterly update: CMS addresses condition code 44, billing for radiopharmaceuticals and nuclear medicine

  • Briefings on APCs, Issue 11, November 1, 2009

    Condition code 44, billing for radiopharmaceuticals highlight I/OCE changes

Bill and charge for supplies correctly to reduce risk and lost revenue

  • Briefings on APCs, Issue 11, November 1, 2009

    Make sure you are coding and billing supplies correctly to decrease revenue loss.

Hospital outpatient departments need to know who is supervising

  • Briefings on APCs, Issue 11, November 1, 2009

    The second part of our two-part series on supervision requirements for diagnostic services.

Briefings on APCs, November 2009

  • Briefings on APCs, Issue 11, November 1, 2009

    This issue features the second part of our series on physician supervision requirements for...

Tip: Develop protocols for enforcing direct supervision requirements

  • APCs Insider, Issue 43, October 30, 2009

    All diagnostic tests require some level of physician supervision. Staff members need to know the...

Q/A: Calcium gluconate administration: Infusion or hydration?

  • APCs Insider, Issue 43, October 30, 2009

    Q. A patient who has undergone a kidney transplant and has plasmapheresis intravenously receives IV...

Q/A: Proper coding for multiple wounds at different sites

  • APCs Insider, Issue 42, October 23, 2009

    Q: A patient with multiple wounds at different sites receives active wound management at one wound...

Tip: Distinguish between therapeutic and diagnostic tests

  • APCs Insider, Issue 42, October 23, 2009

    Facilities need to have a clear understanding of when a procedure is diagnostic and when it is...

Tip: Appropriately report units in excess of MUE

  • APCs Insider, Issue 41, October 16, 2009

    In FAQ 8736, CMS instructs hospitals how to report units in excess of the medically unlikely edits...

Q/A: Infusions in multilumen catheters

  • APCs Insider, Issue 39, October 2, 2009

    Q: How should we assign CPT codes for an infusion of desferal at the same time as blood products...

Tip: Meet physician supervision requirements for diagnostic services

  • APCs Insider, Issue 39, October 2, 2009

    How can your facility ensure compliance with the physician supervision requirements for diagnostic...

Coding Q&A

  • APC Payment Insider, Issue 10, October 1, 2009

    Does CPT 36592 pertain to a pre-existing catheter (such as a PICC line) that is available for use...

Separately payable drugs: New calculation method proposed for 2010 doesn’t equal increased payment

  • APC Payment Insider, Issue 10, October 1, 2009

    CMS proposes new methodology to calculate drug APC payment rates.

CMS proposes more changes to physician supervision requirements

  • APC Payment Insider, Issue 10, October 1, 2009

    Proposed changes to outpatient supervision could be a huge boon.

Coders beware?Is that screening colonoscopy really a screening?

  • Briefings on APCs, Issue 10, October 1, 2009

    Coders must understand what constitutes a ‘screening’ colonoscopy.

Two years later, MUEs are still a puzzle

  • Briefings on APCs, Issue 10, October 1, 2009

    Given the continuing confusion, what can facilities do to handle MUEs?

Physician supervision requirements not limited to therapeutic services

  • Briefings on APCs, Issue 10, October 1, 2009

    The first part of our two-part series on supervision requirements for diagnostic services.

Briefings on APCs, October 2009

  • Briefings on APCs, Issue 10, October 1, 2009

    This issue features the first part of our series on physician supervision requirements for...

Q/A: Billing code 92960 in the ED

  • APCs Insider, Issue 38, September 25, 2009

    Q: Is elective cardioversion code 92960 billable in the ED? For example, a patient presents in the...

Q/A: Billing for items used with DME

  • APCs Insider, Issue 37, September 18, 2009

    Q: We understand that we cannot charge for the use of equipment, but can we charge for the soft...

Tip: Understand Q status indicators

  • APCs Insider, Issue 37, September 18, 2009

    Under the 2009 OPPS final rule, bundling is now subdivided into status indicators Q1, Q2, and Q3.

Tip: Differentiate between packaged and bundled services

  • APCs Insider, Issue 36, September 11, 2009

    To distinguish between bundled and packaged services, remember that bundling applies to coding and...

Q/A: Reporting code 96372 for one dose administered via two injections

  • APCs Insider, Issue 35, September 5, 2009

    Q. A physician orders one dose of a medication to be administered intramuscularly (IM) or...

Tip: Know the general definiation of 'immediately available' for physician supervision

  • APCs Insider, Issue 35, September 4, 2009

    In its 2010 OPPS proposed rule, CMS acknowledges never having specifically defined...

Briefings on APCs, September 2009

  • Briefings on APCs, Issue 9, September 1, 2009

    In this issue, you will find an overview of the 2010 OPPS proposed rule, plus articles expanding on...

OPPS 2010 proposed rule: Earliest release brings fewer substantial policy changes

  • Briefings on APCs, Issue 9, September 1, 2009

    The text portion of the 2010 OPPS proposed rule is shorter than previous years’ rules, and...

2010 OPPS proposed rule: CMS proposes more changes to physician supervision requirements

  • Briefings on APCs, Issue 9, September 1, 2009

    Proposed changes to outpatient supervision could be a huge boon.

Separately payable drugs: New calculation method proposed for 2010 doesn’t equal increased payment

  • Briefings on APCs, Issue 9, September 1, 2009

    CMS proposes new methodology to calculate drug APC payment rates.

CMS discusses Section 1011 updates, OPPS proposed rule during HODF

  • Briefings on APCs, Issue 9, September 1, 2009

    Several items of interest to OPPS hospitals from Open Door Forum call.

Concepts review: Sort out packaged versus bundled services

  • Briefings on APCs, Issue 9, September 1, 2009

    Q status indicators add to packaged vs. bundled confusion.

APC Answer Letter September 2009

  • APC Answer Letter, Issue 9, September 1, 2009

    Select proper codes, modifiers for cardiac catheterization, injections and infusions, stent...

APC Payment Insider September 2009

  • APC Payment Insider, Issue 9, September 1, 2009

    In this issue we look at how the new ICD-9-CM codes increase specificity. Inside: CMS...

New ICD-9-CM codes increase specificity

  • APC Payment Insider, Issue 9, September 1, 2009

    ICD-9 code changes increase specificity to provide more information.

CMS clarifies outpatient ?observation services?

  • APC Payment Insider, Issue 9, September 1, 2009

    CMS revised language to clarify outpatient observation services.

Don?t code stent if lesion not crossed

  • APC Payment Insider, Issue 9, September 1, 2009

    Physician can’t cross lesion to place noncoronary stent

Code intended procedure when not completed

  • APC Payment Insider, Issue 9, September 1, 2009

    What should you do if a physician can’t complete the procedure?

Lack of start, stop times affects code selection

  • APC Payment Insider, Issue 9, September 1, 2009

    What should you do if a physician can’t complete the procedure?

Setting, insurer dictate payment policy

  • APC Payment Insider, Issue 9, September 1, 2009

    Is charging a patient for a low level facility visit appropriate?

Report drug and administration codes

  • APC Payment Insider, Issue 9, September 1, 2009

    Make sure you include CPT and HCPCS codes for drugs

Report in facility setting only

  • APC Payment Insider, Issue 9, September 1, 2009

    Know when to report an IV push of the same substance in ER

Q/A: Is patient considered high risk after non-adenomatious polyp removal?

  • APCs Insider, Issue 33, August 28, 2009

    Q: Is a patient who underwent a colonoscopy and polyp removal three years ago considered high risk...

Resubmit comments on OPPS proposed rule

  • APCs Insider, Issue 33, August 28, 2009

    CMS requests that everyone who submitted comments on the 2010 proposed Physician Fee Schedule or...

Q/A: Coding for incomplete stent placement

  • APCs Insider, Issue 32, August 21, 2009

    Q: How should we code the following scenario: A patient arrives at the catheterization laboratory...

Tip: Comment on the 2010 OPPS proposed rule

  • APCs Insider, Issue 32, August 21, 2009

    What do you thinkof the 2010 OPPS proposed rule? You can submit comments to CMS until August 31.

Q/A: Limits on PET scans

  • APCs Insider, Issue 31, August 13, 2009

    Q: Is there a limit on how frequently patients may receive PET scans, such as 78815 (Tumor...

Tip: Use these principles to develop E/M coding guidelines

  • APCs Insider, Issue 31, August 13, 2009

    No national guidelines for E/M leveling exist, so facilities must develop their own.

Q/A: Report modifier -59 for EKGs performed before or after cardiac catheterization

  • APCs Insider, Issue 30, August 7, 2009

    Q. An APC edit states that 93005 (electrocardiogram, routine EKG with at least 12 leads; tracing...

Ensure medical necessity to curb outpatient revenue loss

  • Briefings on APCs, Issue 8, August 1, 2009

    Facilities are failing to meet medical necessity requirements

New ICD-9-CM codes increase specificity

  • Briefings on APCs, Issue 8, August 1, 2009

    ICD-9 code changes increase specificity to provide more information.

Briefings on APCs, August 2009

  • Briefings on APCs, Issue 8, August 1, 2009

    In this issue, you will find information about the new updates to the ICD-9 codes and look at how...

Set the bar with outpatient coding productivity standards

  • APC Payment Insider, Issue 8, August 1, 2009

    HIM departments need to establish coding productivity standards.

APC Payment Insider, August 2009

  • APC Payment Insider, Issue 8, August 1, 2009

    In this issue we look at six questions you should ask when you evaluate coder productivity...

Q/A: Physical and occupational therapy in the outpatient department

  • APCs Insider, Issue 29, July 31, 2009

    Q: What are the guidelines for physician supervision for physical therapy/occupational therapy and...

Q/A: Facility guidelines for E/M levels

  • APCs Insider, Issue 28, July 24, 2009

    Q: I work in a hospital outpatient clinic setting. Has CMS issued a deadline for developing...

Tip: Consider non-coding tasks when setting coder productivity goals

  • APCs Insider, Issue 28, July 17, 2009

    When setting productivity goals, don’t forget to include non-coding responsibilities when...

CMS releases 2010 OPPS proposed rule

  • HIM-HIPAA Insider, Issue 28, July 14, 2009

    Outpatient facilities and pharmacies hoping to see an increase in reimbursement for separately...

Q/A: Coding for blood glucose checks

  • APCs Insider, Issue 27, July 10, 2009

    Q: Which CPT code is appropriate for blood glucose monitoring with a device such as...

Q/A: Appropriate use of code 96376

  • APCs Insider, Issue 26, July 3, 2009

    Q: My question pertains to CPT code 96376 (therapeutic, prophylactic, or diagnostic injection...

OSA: Put coverage problems to sleep with detailed documentation

  • APC Payment Insider, Issue 7, July 1, 2009

    CMS’ decision to broaden coverage of sleep testing for OSA is good news for facilities if...

APC Payment Insider, July 2009

  • APC Payment Insider, Issue 7, July 1, 2009

    In this issue we look at CMS’ recent decision to expand coverage of testing for obstructive...

Carefully review CMS’ national coverage analysis on PET scans

  • Briefings on APCs, Issue 7, July 1, 2009

    For years, it has been a challenge for healthcare facilities to determine whether Medicare will...

Inpatient ancillary services: Are your costs covered?

  • Briefings on APCs, Issue 7, July 1, 2009

    As the current economic climate continues to constrict cash flow for consumers and payers alike...

Briefings on APCs, July 2009

  • Briefings on APCs, Issue 7, July 1, 2009

    In this issue, you will find information about how your facility can increase its revenue by...

Q/A: Hydration services continuing past midnight

  • APCs Insider, Issue 25, June 26, 2009

    Q: How should we report hydration services that run past midnight into the next calendar day along...

Tip: Don't forget to monitor coding productivity standards

  • APCs Insider, Issue 25, June 26, 2009

    Establishing coding productivity standards is a necessary and challenging aspect of managing an...

Q/A: Critical care coding

  • APCs Insider, Issue 24, June 19, 2009

    Q: My question pertains to critical care provided in an ER at a Level 1 Trauma Center. If a patient...

Set the bar with outpatient coding productivity standards

  • Briefings on APCs, Issue 7, June 12, 2009

    Editor’s note: The results of the survey discussed in this article are based on responses...

CMS releases April I/OCE update

  • Briefings on APCs, Issue 6, June 1, 2009

    CMS released its April 2009 quarterly update to the integrated outpatient code editor on March 13.

Strong documentation puts OSA coverage trouble to sleep

  • Briefings on APCs, Issue 6, June 1, 2009

    CMS’ decision to broaden coverage of sleep testing for OSA is good news for facilities if...

Go electronic to improve compliant charge capture

  • Briefings on APCs, Issue 6, June 1, 2009

    With increased ED volume and the demands of more complete documentation, now is the time to...

Briefings on APCs, June 2009

  • Briefings on APCs, Issue 6, June 1, 2009

    Inside: Go electronic to improve compliant charge capture Strong documentation puts OSA coverage...

Conform to the new CMS physician supervision requirements

  • APC Payment Insider, Issue 6, June 1, 2009

    CMS discussion of direct supervision requirements likely to spark more questions.

APC Payment Insider, June 2009

  • APC Payment Insider, Issue 6, June 1, 2009

    In this issue, we cover CMS’ updated clarifications regarding incident-to services and looks...

Q/A: Physician supervision requirements for outpatient facility

  • APCs Insider, Issue 21, May 29, 2009

    Q: The nurse practitioner (NP) and physician assistant (PA) staff the off-campus clinic with...

Tip: Understand Q status indicator subcategories

  • APCs Insider, Issue 20, May 22, 2009

    The 2009 OPPS final rule further divided the Q status indicator into three subcategories, with...

Q/A: Global payment structure and scheduled ED visits

  • APCs Insider, Issue 19, May 15, 2009

    Q: A patient is seen in the ED for laceration repair and then returns for suture or staple removal...

Q&A: Assigning IV injection codes without stop times

  • Briefings on APCs, Issue 5, May 1, 2009

    Q. Is it appropriate to assign an IV injection code when facility nursing documentation does not...

Conform to the new CMS physician supervision requirements

  • Briefings on APCs, Issue 5, May 1, 2009

    Hospitals looking for more discussion about CMS? recent clarification of the direct supervision...

Review these important CY 2009 OPPS status indicator changes

  • Briefings on APCs, Issue 5, May 1, 2009

    In 2008, CMS greatly expanded the number of packaged items and services payable under the OPPS...

Solve the twin problems of ED revenue loss and compliance risk

  • Briefings on APCs, Issue 5, May 1, 2009

    As always, E/M levels must reflect resources consumed, and you still must have written policies and...

Briefings on APCs, May 2009

  • Briefings on APCs, Issue 5, May 1, 2009

    Inside: Solve the twin problems of ED revenue loss and compliance risk Overcome critical care...

APC Answer Letter May 2009

  • APC Answer Letter, Issue 5, May 1, 2009

    Inside: Blood procedures: Code correctly when the only service is specimen collection via...

APC Payment Insider May 2009

  • APC Payment Insider, Issue 5, May 1, 2009

    Inside: Watch for changing physician supervision requirements: today’s oversight may be...

Watch for changing physician supervision requirements

  • APC Payment Insider, Issue 5, May 1, 2009

    Five successive pieces of CMS guidance in the past year have altered the landscape...

CMS reviews negative pressure wound therapy devices

  • APC Payment Insider, Issue 5, May 1, 2009

    CMS has partnered with the Agency for Healthcare Research and Quality (AHRQ) to commission a review...

Q/A: Billing for CPT Code 86022

  • APCs Insider, Issue 18, May 1, 2009

    Normal 0 false false false...

Conform to the new CMS physician supervision requirements

  • APCs Insider, Issue 18, May 1, 2009

    Normal 0 false false false...

APC Answer Letter, April 2009

  • APC Answer Letter, Issue 4, April 1, 2009

    Inside: Charging for multiple ventricular leads Quick coding quiz

Understand when to append modifier -58

  • Briefings on APCs, Issue 4, April 1, 2009

    It's often difficult for coders and providers to determine when it's appropriate to append modifier...

Coders may not miss modifier -21

  • Briefings on APCs, Issue 4, April 1, 2009

    The departure of modifier -21 (prolonged E/M services), effective with the 2009 CPT Manual, isn't...

CMS reviews Negative Pressure Wound Therapy (NPWT) devices

  • Briefings on APCs, Issue 4, April 1, 2009

    CMS has partnered with the Agency for Healthcare Research and Quality (AHRQ) to commission a review...

Watch for changing physician supervision requirements

  • Briefings on APCs, Issue 4, April 1, 2009

    Five successive pieces of CMS guidance in the past year have altered the landscape. They are...

APC Payment Insider April 2009

  • APC Payment Insider, Issue 4, April 1, 2009

    Inside: Control charge compression by knowing your costs, because consumer reaction may cost you...

Control charge compression by knowing your costs

  • APC Payment Insider, Issue 4, April 1, 2009

    Charge compression is a complex, long-standing problem. And although CMS is only now recognizing...

Trauma activation code

  • APC Payment Insider, Issue 4, April 1, 2009

    Assuming you meet all other documentation and trauma status criteria, you may report the trauma...

Clear up confusion regarding coding and billing for hospital supplies: Learn DME types and terminology

  • APC Payment Insider, Issue 4, April 1, 2009

    Coding and billing for hospital supplies can be confusing because of the complicated terminology...

CPT checkup: Review the major changes for 2009

  • APC Payment Insider, Issue 3, March 27, 2009

    This is the second of two articles on this year?s CPT changes, effective January 1. Part two covers...

APC Answer Letter, March 2009

  • APC Answer Letter, Issue 3, March 1, 2009

    Inside: DME licenses Giving supplies away? Here’s how to become a supplier Nonchemotherapy...

APC Payment Insider, March 2009

  • APC Payment Insider, Issue 3, March 1, 2009

    Inside: CMS opens the door to outpatient HAC program CPT checkup: Review the major changes for...

CMS opens the door to outpatient HAC program

  • APC Payment Insider, Issue 3, March 1, 2009

    At a December 18, 2008, listening session, CMS presenters discussed possibilities for extending the...

500-plus CPT changes in 2009

  • APCs Insider, Issue 1, January 2, 2009

    CPT coders face a lengthy list of changes for 2009. According to the American Academy of...

CMS releases 2009 OPPS final rule; trends continue

  • Briefings on APCs, Issue 1, January 1, 2009

    New composite APCs, continued emphasis on efficiency, and revised definitions for new and...

APC Answer Letter, January 2009

  • APC Answer Letter, Issue 1, January 1, 2009

    Inside: Blood draw via hep lock Cardiac catheterization: LIMA visualization Fluoroscopy for...

Facility critical care claims

  • APCs Insider, Issue 52, December 26, 2008

     How to submit facility critical care claims for 2009

B&O suppositories

  • APCs Insider, Issue 48, November 21, 2008

    In general, consider a belladona and opium (B&O) suppository as a self-administered drug, and...

Modifier -59 for certain EKGs

  • APCs Insider, Issue 47, November 14, 2008

    You may report EKGs performed before or after cardiac catheterization with modifier -59. You cannot...

Proposed payment changes to Type B EDs

  • Briefings on APCs, Issue 11, November 1, 2008

    CMS has proposed to create four new APCs for Type B ED visits in the 2009 OPPS proposed rule, based...

Decipher integumentary codes for correct coding

  • Briefings on APCs, Issue 11, November 1, 2008

    Differentiate transfers, flaps, and grafting procedures, and make use of new codes and any trick to...

Make determinations for self-administered drugs

  • Briefings on APCs, Issue 11, November 1, 2008

    This is the first article in a two-part series. It provides the legal background of...

Opinions on payment changes to type B EDs vary

  • APCs Insider, Issue 44, October 31, 2008

    Opinions on proposed payment changes to type B EDs vary

Reminder: Medicare covers diabetes screening

  • Briefings on APCs, Issue 10, October 1, 2008

    On June 18, CMS issued MLN Matters article SE0821, a reminder that Medicare pays for diabetes...

Questions on E/M for hospital-based outpatient clinics

  • Briefings on APCs, Issue 10, October 1, 2008

    Editor’s note: Susan Garrison, CHCA, PCS, FCS, CPC, CPC-H, CCS-P, CHC, CPAR, executive vice...

Meet planned APC payment reductions: eliminate unnecessary imaging services

  • Briefings on APCs, Issue 10, October 1, 2008

    Glenn Krauss, BBA, RHIA, CCS, CCS-P, CPUR, FCS, PCS, C-CDIS says without changing the way that...

Briefings on APCs, September 2008

  • Briefings on APCs, Issue 9, September 1, 2008

    Inside: CMS proposes five new composite APCs, reduces drug reimbursement; Avoid encoder traps...

Q&A: Report appropriate device codes for device-dependent procedures

  • APCs Insider, Issue 20, May 16, 2008

    We are negotiating to provide pain stimulator services. We will report code 63650 for the trial and...