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Articles
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    Briefings on APCs

    A new vision for hospital price transparency

    April 1, 2020
    On January 1, 2021, hospitals will enter a new world of price transparency. CMS put hospitals on track to face expanded price transparency requirements with a final rule released November 15, 2019.
    Briefings on APCs

    Clinical manifestations and ICD-10-CM coding for the novel coronavirus

    March 1, 2020
    The Centers for Disease Control and Prevention (CDC) is monitoring the rapid spread of a novel 2019 coronavirus, formally named COVID-19, first identified in Wuhan, Hubei Province, China. On January 30, the International Health Regulations Emergency Committee of the World Health Organization (WHO) declared the COVID-19 outbreak a public health emergency of international concern due to its sustained person-to-person spread within countries and across continental borders.
    Briefings on APCs

    Using CMS’ new Part B benefit for opioid treatment programs

    March 1, 2020
    To enhance efforts to combat the opioid crisis in America, CMS policy allows for a new benefit under Medicare Part B concerning Opioid Treatment Programs.
    Briefings on APCs

    Understanding Medicare requirements for observation

    March 1, 2020
    Like other services covered by Medicare, observation must be reasonable and necessary or, in other words, medically necessary. The physician must document that they assessed patient risk to determine that the patient would benefit from observation services.
    Briefings on APCs

    This month's coding Q&A

    March 1, 2020
    Our coding experts answer questions about reporting interbody fusions, billing requirements for insulin infusion pumps, and more.
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