The April 2019 OPPS quarterly update reassigned specific skin substitute products from the low-cost group to the high-cost group and clarified billing and reporting for chimeric antigen receptor T-cell (CAR-T) therapy procedures performed in the outpatient setting.
Trouble viewing? See it online! Monday, March 25, 2019
 

News
Providers agree to pay $817K in Medicare overpayments settlement
Source: ACDIS
Jefferson Medical Associates, a now dissolved, multi-specialty practice group in Laurel, Mississippi, and neurologist Aremmia Tanious, MD, have agreed to pay $817,635.06 to resolve claims under the False Claims Act arising from Medicare overpayments, according to the Department of Justice.
April quarterly OPPS update affects pricing for skin substitute products, billing for CAR-T therapy
Source: Revenue Cycle Advisor
The April 2019 OPPS quarterly update reassigned specific skin substitute products from the low-cost group to the high-cost group and clarified billing and reporting for chimeric antigen receptor T-cell (CAR-T) therapy procedures performed in the outpatient setting.
 

Revenue Cycle Advisor Subscriber Content

HIPAA Q&A: Shared insurance policies, thank you notes, proof of absence, and referrals to Part 2 facilities
Source: Revenue Cycle Advisor
In this month's HIPAA Q&A, our expert answers questions on shared insurance policies, posting thank you notes in employee-only areas, referrals to Part 2 facilities, and more!
 

Daily Q&A
Q&A: Addressing payer diversions in contract language
Source: Revenue Cycle Advisor
Q: What language can we add to our contracts to discourage payers from diverting patients to other hospitals based solely on cost?

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Cardiac Coding: Reviewing ICD-10-PCS Reporting

During this 90-minute webinar, expert speaker Ed O’Beirne, CCS, PA, CDIP, will explain cardiac anatomy, physiology, and pathophysiology, and review ICD-10-PCS coding challenges and requirements associated with the cardiac system. O’Beirne will provide case studies and examples so coders can remain compliant with Medicare rules and regulations.
 

    

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