Update on Medicare payment policy for treatments involving bamlanivimab
Medicare no longer will pay healthcare providers for administering the COVID-19 treatment bamlanivimab now that the FDA has revoked the Emergency Use Authorization for treatments in which the drug is administered alone.
After OIG says hospitals may be engaging in upcoding, CMS and AHA dispute the finding
The HHS Office of Inspector General says a significant rise in high-severity inpatient admissions with no corresponding increase in length of stay indicates a possible pattern of upcoding by hospitals in recent years.
Key considerations for revenue cycle teams to optimize coding and maximize revenue during COVID-19
Providers should make sure they fully understand various COVID-19 codes that can enhance payment from CMS and serve as important claims data.
Revenue Cycle Strategist December 2019
The December 2019 issue of Revenue Cycle Strategist features articles on building a chargemaster, new coding changes for 2020, revenue integrity, evaluating and management charges and patient financing.
E/M coding changes require education and technology updates
In 2021, major evaluation and management code changes will be implemented for new and established patient office visits.
5 new code changes focus on new medical technologies
The 2020 ICD-10 updates not as significant as expected but there are new codes for new medical devices and related procedures.
Defining revenue integrity KPIs
A strong revenue integrity program can help revenue cycle departments preserve the margins that further the mission of delivering high-quality healthcare.
Strategies for positive impact on revenue integrity
Revenue integrity requires proper staffing and bring activities to the front end of the revenue cycle.
How a 3-phase approach can rebuild your chargemaster
Review, analysis and revision are key components of a successful chargemaster review.
Craneware: Demystifying the costs of care
A leading chargemaster company discusses its commitment to helping healthcare organizations understand their total cost of care and make strategic decisions to grow and protect margin.