CMS is moving forward with multiple policies—effectively based on reducing reimbursement to hospitals—that have been deemed unlawful in court, according to the 2020 OPPS final rule, released Friday, November 1. However, the agency pushed its controversial price transparency proposals to a separate, yet-to-be released final rule.
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News | CDC proposes sepsis coding changes, requests feedback | Source: ACDIS | The Centers for Disease Control and Prevention (CDC) released a proposal for changes to ICD-10-CM sepsis related codes after receiving numerous questions and comments about the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) published in 2016. |
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Daily Q&A | Q&A: Resubmitting denied claims | Source: Revenue Cycle Advisor | Q: How should we handle denied claims when the payer refuses payment under the billed status? Do we need to document that the status was changed only because the payer did not agree to any other options? |
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Product Spotlight During this 90-minute webinar, Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, CDIP, COBGC, will review outpatient coding for the global OB package and separately identifiable pregnancy, delivery, and postpartum care. Webb will also review commonly encountered medical necessity challenges that occur with clinical documentation and billing for OB/GYN diagnoses. | |
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