Latest subscriber newsletter stories

Analyzing CPT codes for nasal fracture and dislocation treatment

A broken nose is a break in the bone or cartilage over the bridge of the nose or over the septum—the structure that separates the nostrils. Debbie Jones, CPC, CCA, explains how to select the most specific CPT codes for nasal fracture and dislocation treatments.

2023 OPPS proposed rule: CMS considers options for 340B reimbursement, more prior authorization

Source: HIM Briefings

CMS is weighing an expansion of the hospital outpatient department prior authorization program, changes to 340B reimbursement, and alternative rate setting data among other proposals in the 2023 OPPS proposed rule. Review other major proposals to understand how your organization could be affected.

Hospital care at home: An underused option

Source: Case Management Monthly

Not all hospital-level care needs to take place in a hospital. Since it was first announced in November 2020, CMS’ Acute Hospital Care at Home waiver program has allowed organizations to provide acute care to qualifying patients in their homes rather than in the traditional setting.

HIPAA Q&A: Reproductive health privacy, compliance ideas in slow summer months

Source: Briefings on HIPAA

Rebecca Herold, CDPSE, FIP, CISSP, CIPM, CIPP/US, CIPT, CISM, CISA, FLMI, answers submitted questions on a variety of HIPAA topics.

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Product Spotlight

2022 Revenue Integrity Symposium

The Revenue Integrity Symposium is the can’t-miss event for revenue integrity, revenue cycle, and Medicare compliance education and high-level networking. Learn from trusted experts with cutting-edge insight that will arm you with the tools to ensure compliance with regulatory changes, maximize revenue, and enhance workflow and program design at the Hilton Phoenix Resort at the Peak in Phoenix from September 19–20.

This week in Medicare

This week’s Medicare updates include a notice about the suspension of prior authorization for certain DMEPOS items, an update on billing for one of the COVID-19 monoclonal antibody treatments, the quarterly update to the clinical laboratory fee schedule, and more!

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