Apr 24th, 2019
The Centers for Medicare & Medicaid Services (CMS) released on April 23 proposed policy changes and rates for the 2020 Inpatient Prospective Payment System (IPPS) and Long-term Care Hospital Prospective Payment System (LTCH PPS). The proposed payment updates for 2020 are: 2.7% for hospitals that submit quality data and are meaningful EHR users 0.3% for ...
Secure hospital revenue integrity by implementing best practices for compliant charge capture. When billing hospital services, it’s important to know the fundamental elements of the Charge Description Master (CDM). Here’s guidance to ensure your CDM is correct and compliant to keep your hospital’s financial livelihood strong. Recognize CDM Functionality CDM, commonly referred to as the ...
In Billing
Nov 28th, 2018
A new tool that displays cost differences for certain surgical procedures was recently released by the Centers for Medicare & Medicaid Services (CMS), and it may help medical coders and their providers help patients better choose whether to have inpatient or outpatient surgery. The Procedure Price Lookup displays national averages for the amount Medicare pays ...
In Coding
Sep 28th, 2018
CPT® codes for psychological and neuropsychological tests include tests performed by technicians and computers (CPT codes 96102, 96103, 96119 and 96120) in addition to tests performed by physicians, clinical psychologists (CPs), independently practicing psychologists (IPPs), and other qualified nonphysician practitioners (NPPs). The payment amounts for tests performed by a technician or a computer ...
In Billing
May 14th, 2018
Newly-released proposed rules provide a preliminary view of the fiscal year (FY) 2019 payment and policy updates to the Medicare program for hospices, inpatient psychiatric facilities, skilled nursing facilities, and inpatient rehabilitation facilities. The Centers for Medicare & Medicaid Services (CMS) released the four proposed rules on May 8. Hospice Update and Reporting Requirements This pr...