COVID-19 has spurred innovation and growth, including the trend toward outpatient care at office-based labs. As a result of increased calls to keep patients out of the hospital and safe…
RACmonitor launches an occasional series, “RAC Rants,” with this first post by past president of the Healthcare Business and Management Association (HBMA) Holly Louie. Entries are welcome at editor@medlearnmedia.com. The…
These codes are time-based CPT codes, used to report care management activities during a calendar month. The Centers for Disease Control and Prevention (CDC) reports that 6 in 10 Americans…
The AMA has announced an editorial update to the Current Procedural Terminology (CPT®) code set that includes a new vaccine administration code for a third dose of the pediatric COVID-19…
OIG's decision to perform a nationwide audit examining compliance with the Provider Relief Fund's balance billing restriction comes just weeks after new federal rules designed to shield consumers from unexpected…
Telemedicine billing was challenging and confusing even before the COVID-19 pandemic thrust remote healthcare into the mainstream. Now, telemedicine is changing healthcare and evolving daily, making telemedicine billing a moving…
Healthcare facilities are rapidly becoming overwhelmed with an influx of new patients who have contracted the highly contagious COVID variant. If you’re confused by the ever-changing Centers for Disease Control…
The package includes three ICD-10-CM and seven procedure codes. The Centers for Disease Control and Prevention (CDC) and the Centers for Medicare & Medicaid Services (CMS) have both stated that…
CMS announced it would be reinstating the COVID-19 healthcare worker vaccine mandate to facilities in 25 states and the District of Columbia that are not affected by the preliminary injunction. The states…
Move aside, call lights, because there’s a new way to get nurses’ attention: Alexa. In hospitals and senior centers across the country, a form of Alexa—powered by Amazon and under…
Mark Synovec, MD, chairs the CPT Editorial Panel, which is responsible for maintaining what is sometimes called “the language of medicine,” the Current Procedural Terminology (CPT®) code set. The Editorial Panel, he…
Cluster coding is a new feature for coding professionals. The World Health Organization (WHO) began developing the International Classification of Diseases, Eleventh Version (ICD-11), in 2007, and first released a…
The American Hospital Association (AHA) and the American Medical Association (AMA) have filed a joint lawsuit against the federal government, challenging the Biden administration's implementation of the No Surprises Act.…
Changes to the MPFS, OPPS, and HHPPS were announced on the same day. Rather than a “news dump” late on a Friday afternoon, federal healthcare officials instead served up a…
The New York State Department of Financial Services wants health insurers to pay any extra bills when their out-of-date provider directories send patients to out-of-network doctors and hospitals. The state…
In the year and a half following the Affordable Care Act’s first marketplace open enrollment period, the number of families who had trouble paying medical bills decreased by nearly 10…